Stephen L Liston
Plastic Surgeon (Head & Neck)
347 Smith Ave N Ste 602
Saint Paul
, Minnesota 55102-2387
Stephen L Liston
Plastic Surgeon (Head & Neck)
347 Smith Ave N Ste 602
Saint Paul
, Minnesota 55102-2387
(612) 871-2012
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Stephen L Liston
- 2211 Park Ave
- Minneapolis, MN
- Zip : 55404-3711
- Fax : (612) 871-2012
- Phone : (612) 871-1144
Second Address
- Stephen L Liston
- 347 Smith Ave N Ste 602
- Saint Paul, MN
- Zip : 55102-2387
- Fax : (651) 297-6597
- Phone : (651) 227-0821
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 23911 | MN |
National Provider Identifier
| NPI | 1841283843 |
|---|---|
| Provider Name | Stephen L Liston |
| First Address | Minneapolis, MN 55404-3711 |
| Second Address | Saint Paul, MN 55102-2387 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1000010 | MEDICA PRIMARY (01) | MN |
| 1001957 | MEDICA CHOICE (01) | MN |
| 1001957 | MEDICACHOICE (01) | MN |
| 100653 | UCARE (01) | MN |
| 20939 | AMERICA'S PPO (01) | MN |
| 38T53LI | BLUE SHIELD (01) | MN |
| 572001 | PREFERRED ONE (01) | MN |
| A94464 | (02) |
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.