Michael Stephen Bevan
Primary Podiatric Medicine
825 Nicollet Mall Ste 517
Minneapolis
, Minnesota 55402
Michael Stephen Bevan
Primary Podiatric Medicine
825 Nicollet Mall Ste 517
Minneapolis
, Minnesota 55402
(952) 975-0118
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Michael Stephen Bevan
- 7770 Dell Rd Ste 140
- Chanhassen, MN
- Zip : 55317-9316
- Fax : (952) 975-0118
- Phone : (952) 934-9360
Second Address
- Michael Stephen Bevan
- 825 Nicollet Mall Ste 517
- Minneapolis, MN
- Zip : 55402
- Phone : (612) 788-8778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 919 | MN |
National Provider Identifier
| NPI | 1629389341 |
|---|---|
| Provider Name | Michael Stephen Bevan |
| First Address | Chanhassen, MN 55317-9316 |
| Second Address | Minneapolis, MN 55402 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2010 |
| Last Update Date | 15/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1629389341 | (05) | 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.