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STEPHANIE M WALTERS MD
NPI 1396843900
Family Medicine in Minneapolis, MN

Active since September 20, 2006
1020 WEST BROADWAY, UMP BROADWAY FAMILY MEDICINE, MINNEAPOLIS, MN 55411(612) 302-8200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie M Walters Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE M WALTERS MD (NPI 1396843900) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (46898) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396843900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE M WALTERSCredential: MD
Location Address1020 WEST BROADWAY, UMP BROADWAY FAMILY MEDICINEMinneapolis, MN 55411
Mailing Address420 Delaware Street Se, Mmc 292 University Of Minnesota PhysiciansMinneapolis, MN 55455 · (612) 302-8200 · Fax (612) 302-8275
Phone(612) 302-8200
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396843900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 46898
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1020 WEST BROADWAY, Minneapolis, MN 55411
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Other Identifiers 3

Other66-08077MN · Medica Health Plans
Other608R5WAMN · Blue Cross Blue Shield
Other611210Fairview

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Clinic/Center (Methadone)
1020 WEST BROADWAY
MINNEAPOLIS, MN 55411
Hennepin County (612) 895-3850
KIM TILLEMANS DO
Obstetrics & Gynecology
1020 WEST BROADWAY, UMP BROADWAY FAMILY MEDICINE URGENT CARE
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8275
MARK WILLIAM YEAZEL M.D.
Family Medicine
1020 WEST BROADWAY
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8200
MICHAEL WOOTTEN M.D.
Family Medicine
1020 WEST BROADWAY, UMP-BROADWAY FAMILY MEDICINE
MINNEAPOLIS, MN 55411
Hennepin County (612) 302-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Walters's NPI number?

The NPI number for Stephanie Walters is 1396843900. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Stephanie Walters located?

Stephanie Walters practices at 1020 West Broadway Ump Broadway Family Medicine, Minneapolis, MN 55411. The listed phone number is (612) 302-8200.

What is Stephanie Walters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Walters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.