Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | 34155 | MN |
Y | 207RX0202X | Medical Oncology | 5967 | ND |
NPI | 1124053285 |
---|---|
Provider Name | Preston D Steen |
First Address | Fargo, ND 58122-0001 |
Second Address | Fargo, ND 58122-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 15/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0C283ST | MNBC (01) | |
10317 | NDBC (01) | |
16543 | (05) | ND |
3619886 | MEDICA (01) | |
781705300 | (05) | MN |
896042 | PREFERRED ONE (01) | |
E79769 | (02) | |
HP11504 | HEALTHPARTNERS (01) | |
N10317 | (05) | ND |