Setterberg, Stephen Roger

Setterberg, Stephen Roger is an individual health care provider with primary practice located at 6545 France Ave S Suite 302, Edina MN 55435-2131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Setterberg, Stephen Roger can be contacted via phone (952) 230-9100.

Contact Information

Primary practice address
6545 France Ave S Suite 302 Edina MN 55435-2131
Phone: (952) 230-9100
Fax: (952) 544-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36051 Minnesota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 36051 Minnesota

Profile Details

NPI number 1255493565
LBN Legal business name Setterberg, Stephen Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 6th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255493565 NPPES
North Dakota Other 152T45E BCBC
North Dakota MEDICAID 18653 BCBC
North Dakota MEDICAID 539860600 BCBC

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