Stephen D Penkhus
Obstetrician & Gynecologist
1230 E Main St
Mankato
, Minnesota 56002-8674
Stephen D Penkhus
Obstetrician & Gynecologist
1230 E Main St
Mankato
, Minnesota 56002-8674
(507) 625-1811
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Stephen D Penkhus
- Po Box 8674 123 E Main St
- Mankato, MN
- Zip : 56002-8674
- Phone : (507) 625-1811
Second Address
- Stephen D Penkhus
- 1230 E Main St
- Mankato, MN
- Zip : 56002-8674
- Phone : (507) 625-1811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 22584 | MN |
National Provider Identifier
| NPI | 1013996032 |
|---|---|
| Provider Name | Stephen D Penkhus |
| First Address | Mankato, MN 56002-8674 |
| Second Address | Mankato, MN 56002-8674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2006 |
| Last Update Date | 11/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0702739 | MEDICA (01) | MN |
| 115550 | UCARE (01) | MN |
| 160025570 | RR MEDICARE (01) | |
| 41084933956001C059 | CHAMPUS (01) | |
| 41497PE | BCBS (01) | MN |
| 688705800 | (05) | MN |
| 771902 | AMERICAS PPO (01) | MN |
| 928614 | (05) | IA |
| D80084 | (02) | |
| HP25860 | HEALTH PARTNERS (01) | MN |
| NA2951023851 | PREFERRED ONE (01) | 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.