Stephen Medin, D.D.S
NPI 1801969803 · on the registry since 2006 · sole proprietor
Practice
- Address
- 509 16th Ave Sw
Willmar, MN 56201 - Phone
- (320) 235-7742
- Fax
- (320) 235-4045
- Organisation at this address
- Glacial Lakes Dental, Pllp
Southwest Professional IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota