Medin, Stephen Mark
Medin, Stephen Mark is an sole proprietor health care provider with primary practice located at 509 16Th Ave Sw , Willmar MN 56201-4118. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Medin, Stephen Mark can be contacted via phone (320) 235-7742.Contact Information
Primary practice address
509 16Th Ave Sw
Willmar MN 56201-4118
Phone: (320) 235-7742
Fax: (320) 235-4045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8655 | Minnesota |
Profile Details
| NPI number | 1801969803 |
|---|---|
| LBN Legal business name | Medin, Stephen Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jun 6th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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