Individual provider · Type 1 NPI
Clyde Richard Stephens, PAC
Physician Assistant · Roseau, MN
Practice location
711 Delmore Dr
Roseau, MN 56751-1534
Mailing address
235 Old Highway 11 E
Greenbush, MN 56726-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 9532 (MN) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1114964780
Clyde Richard Stephens, PAC's National Provider Identifier is 1114964780, issued on Jun 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roseau, MN. The record was last updated on Jul 13, 2026.