Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN DESTEFANO
Active Sole ProprietorPharmacist Clinician (PhC) · PRINCETON, MN
Registration Details
- NPI Number
- 1215349584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2014 (11.937339925696 yrs)
- Last Updated
- May 21, 2014
- License
-
116482 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31419 131ST STREETPRINCETON, MN, 55371Browse MN providers · Browse ZIP 55371
- Phone
- 7632209227
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.