NPI 1003899089

Stephen Mark Scallon, MD

Practitioner Pediatrics Physician Stillwater, MN

Practice location

Address: 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 439-1547
Mailing address: 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 29155 (MN)

Other Pediatrics providers in Minnesota →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 24613 (WI)

Registry record

NPI: 1003899089
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2005
Record last updated: 8 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.