Provider Demographics
NPI:1396787297
Name:STEIN, STEVEN DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DAVID
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 W 66TH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2109
Mailing Address - Country:US
Mailing Address - Phone:952-920-7200
Mailing Address - Fax:763-302-4234
Practice Address - Street 1:3400 W 66TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2109
Practice Address - Country:US
Practice Address - Phone:952-920-7200
Practice Address - Fax:763-302-4234
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN279982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30744300Medicaid
MN512382800Medicaid
MN25829OtherAMERICA'S PPO
MN1003991OtherPREFERRED ONE
MN5T057STOtherBCBS OF MN
MN0511818OtherMEDICA
MN106950C029OtherUCARE
MNHP14477OtherHEALTHPARTNERS
MN130010796OtherRAILROAD MEDICARE
MN106950C029OtherUCARE
WI30744300Medicaid