Clyde Richard Stephens, PAC
Clyde Richard Stephens, PAC is a Physician Assistant in Roseau, Minnesota. Qualified in 2000, 26 years ago. Practices with Lakewood Health Center, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 26
- Licensed in
- MN
- In the registry since
- 2006
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
711 Delmore DrRoseau, MN 56751-1534
Phone: (218) 463-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 9532 (MN) |
|---|
Record details
| NPI number | 1114964780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | June 1, 2006 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 235 Old Highway 11 E, Greenbush, MN 56726-4128 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Lakewood Health Center — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Roseau
-
Marianne Renae Foldesi, PA-C
711 Delmore Dr, Roseau, MN 56751 · (218) 463-1365
-
Aunica Isane, PA-C
711 Delmore Dr, Roseau, MN 56751 · (218) 463-1365
-
MS. Renae J Matthews, PA-C
711 Delmore Dr- Altru Clinic/roseau, Roseau, MN 56751-1534 · (218) 463-1365