Individual provider · Type 1 NPI

Stephan Mark Dehaven, DC

Chiropractor · St. Paul, MN

NPI number 1609095454 Active

Practice location

1060 Centerville Cir
St. Paul, MN 55127-6344

Call (651) 429-3015 Map

Fax (651) 653-3832

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2585 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1609095454

Stephan Mark Dehaven, DC's National Provider Identifier is 1609095454, issued on Apr 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.