Dr. Stephen Bryan Wahman
Primary Podiatric Medicine
1575 Sherwood Rd
Shoreview
, Minnesota 55126-8517
Dr. Stephen Bryan Wahman
Primary Podiatric Medicine
1575 Sherwood Rd
Shoreview
, Minnesota 55126-8517
(651) 341-3630
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Stephen Bryan Wahman
- 855 Village Center Dr #329
- North Oaks, MN
- Zip : 55127-3016
- Phone : (651) 341-3630
Second Address
- Dr. Stephen Bryan Wahman
- 1575 Sherwood Rd
- Shoreview, MN
- Zip : 55126-8517
- Phone : (651) 341-3630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 370 | MN |
National Provider Identifier
| NPI | 1568595783 |
|---|---|
| Provider Name | Dr. Stephen Bryan Wahman |
| First Address | North Oaks, MN 55127-3016 |
| Second Address | Shoreview, MN 55126-8517 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104402 | U CARE MINNESOTA (01) | MN |
| 18033 | HEALTH PARTNERS (01) | MN |
| 27-11884 | MEDICA PROVIDER NO. (01) | MN |
| 846471 | (05) | MN |
| T39512 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.