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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN MARK MEDIN, D.D.S.

Active Sole Proprietor

STEPHEN MARK MEDIN, D.D.S. is a Dentist healthcare provider located in WILLMAR, Minnesota. NPI 1801969803 is currently active in the NPPES registry. Verify at CMS.

Dentist · WILLMAR, MN

Registration Details

NPI Number
1801969803
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2006 (19.568041579553 yrs)
Last Updated
Jun 6, 2012
License
8655 (MN)
Sole Proprietor
Yes

Practice Information

Address
509 16TH AVE SW
WILLMAR, MN, 562014118
Browse MN providers · Browse ZIP 56201
Phone
3202357742
Fax
3202354045
Primary Specialty
Dentist
122300000X

Other Dentist Providers in WILLMAR, MN

Name Credential NPI
LINDA A JACKSON DDS 1992757728
DR. ERIC DALE NORDSTROM DDS 1972549145
DR. HARLAN LEROY ANDERSON D.D.S 1962595595
DR. MICHAEL DUANE HANSON DDS 1922182054
DR. JODI MICHELLE FONKERT DDS 1285718304
GRETCHEN MARY VONRUEDEN DDS 1922162635
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.