Stephen Mark Medin, D.D.S. Valid NPI

Individual provider · Dentist · Willmar, MN

NPI

1801969803

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

8655 (MN)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-16

Last updated

2012-06-06