Provider Demographics
NPI:1831175322
Name:MCCUE, STEPHEN A (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:A
Last Name:MCCUE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:#622 METROPOLITAN OBSTETRICS & GYNECOLOGY PA
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-227-9141
Mailing Address - Fax:651-265-6772
Practice Address - Street 1:1650 BEAM AVE
Practice Address - Street 2:#102 METROPOLITAN OBSTETRICS & GYNECOLOGY PA
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1192
Practice Address - Country:US
Practice Address - Phone:651-770-1385
Practice Address - Fax:651-770-0672
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
MN21055207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
11065MCOtherBCBS
A94835OtherCHOICE PLUS
0010468OtherPREFERRED ONE
0700551OtherSELECT CARE
31294800OtherWISCONSIN MA
960980010468OtherPEAK PROVIDER #
960980010468OtherPRE1CH PROVIDER #
HP13936OtherEMHO
0700551OtherMEDICA CHOICE
92336OtherMEDICA PRIMARY
0700551OtherMEDICA CHOICE
31294800OtherWISCONSIN MA