STEPHEN POWLESS

Podiatrist

Active Individual
NPI: 1114902780

Practice Address

3900 PARK NICOLLET BLVD
PARK NICOLLET CLINIC SLP
St Louis Park, MN 55416

Phone: (952) 993-2794

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 348 (MN)

Frequently Asked Questions

NPI 1114902780 is the National Provider Identifier for STEPHEN POWLESS, a Podiatrist provider located in St Louis Park, MN. This NPI was enumerated on December 7, 2005.
STEPHEN POWLESS practices at 3900 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP, St Louis Park, MN 55416.

Quick Facts

NPI
1114902780
Type
Individual
Enumerated
Dec 7, 2005
Last Updated
Jul 6, 2012

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