Stephen Kent Du Rivage, MD - Pediatrics in Brooklyn Center, MN

Stephen Kent Du Rivage, MD is a Pediatrics physician based in Brooklyn Center, Minnesota. Stephen Kent Du Rivage is licensed to practice in Minnesota (license number 29549) and his current practice location is 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 569-0300.

NPI number for Stephen Kent Du Rivage is 1619941085 and his current mailing address is 8100 34th Ave S, 21110q, Bloomington, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619941085.

Contact Information

Stephen Kent Du Rivage, MD
6845 Lee Ave N, Mail Stop 31400a,
Brooklyn Center, MN 55429-1717
(763) 569-0300
(763) 569-0311

Map and Direction




Physician's Profile

Full NameStephen Kent Du Rivage
GenderMale
SpecialityPediatrics
Location6845 Lee Ave N, Brooklyn Center, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619941085
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stephen Kent Du Rivage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619941085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 29549 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen Kent Du Rivage is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephen Kent Du Rivage, MD
8100 34th Ave S, 21110q,
Bloomington, MN 55425-1672

Ph: (952) 883-7961
Stephen Kent Du Rivage, MD
6845 Lee Ave N, Mail Stop 31400a,
Brooklyn Center, MN 55429-1717

Ph: (763) 569-0300

Reviews and Comments


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