Most Relevant Information
Provider Data
| NPI Number: | 1003029851 |
| Provider Name: | STEPHEN L. MARTY D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 1757 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6409 CITY WEST PKWY STE 105
EDEN PRAIRIE
MN
553447845
Practice Location Phone/Fax
| Phone: | 9528333038 |
| Fax: |
Provider Mailing Location
5910 SCENIC HEIGHTS DR
MINNETONKA
MN
553456311
Provider Mailing Phone/Fax
| Phone: | 9529346805 |
| Fax: |