Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephen R Tan, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1669446415

Stephen R Tan, MD is a Micrographic Dermatologic Surgery (Mds) in Saint Paul, Minnesota. Qualified in 1997, 29 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (651) 254-7580
Fax: (651) 254-7584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 — (952) 993-3286

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 44614 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 44614 (MN)

Record details

NPI number1669446415
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020
Mailing address401 Phalen Blvd, Saint Paul, MN 55130-5302

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare