Provider Demographics
NPI:1336335066
Name:ONE STOP MEDICAL CENTER
Entity Type:Organization
Organization Name:ONE STOP MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-205-3278
Mailing Address - Street 1:6545 FRANCE AVE S STE 480
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2138
Mailing Address - Country:US
Mailing Address - Phone:612-205-3278
Mailing Address - Fax:
Practice Address - Street 1:6545 FRANCE AVE S STE 480
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2138
Practice Address - Country:US
Practice Address - Phone:612-205-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44484261Q00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center