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Stephen L Liston, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Saint Paul, Minnesota
NPI 1841283843

Stephen L Liston is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Minneapolis, MN and is specialized in Plastic Surgery within the Head & Neck. Stephen L Liston practices in Saint Paul, MN and has the professional credentials of MD. The NPI Number for Stephen L Liston is 1841283843 and holds a License No. 23911 (Minnesota).

The current practice location address for Stephen L Liston is 347 Smith Ave N, Saint Paul, MN and can be reached out via phone at 651-227-0821 and via fax at 651-297-6597.

Location: 347 Smith Ave N, Saint Paul, MN, 55404-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841283843
Provider Name
Stephen L Liston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
347 Smith Ave N, Saint Paul, MN, 55404-3711
Phone Number
651-227-0821
Fax Number
651-297-6597
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1001957 01 MN MEDICA CHOICE
100653 01 MN UCARE
1001957 01 MN MEDICACHOICE
20939 01 MN AMERICA'S PPO
1000010 01 MN MEDICA PRIMARY
572001 01 MN PREFERRED ONE
38T53LI 01 MN BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
347 Smith Ave N
City
Saint Paul
State
Minnesota
Zip
55102-2387
Phone Number
651-227-0821
Fax Number
651-297-6597
person
Provider Business Mailing Address Details
Address
347 Smith Ave N
City
Saint Paul
State
Minnesota
Zip
55102-2387
Phone Number
651-227-0821
Fax Number
651-297-6597
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
23911 (Minnesota)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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