Jerry Wayne Stanke, M.D.

NPI #1043329220 in Saint Paul, Minnesota

Provider Information

NPI Number: 1043329220
Entity Type: Individual
Name: Jerry Wayne Stanke, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Aug 30, 2006
Last Updated: Jan 28, 2013

Practice Location

Address: 3555 WILLOW LAKE BLVD
Address 2: SUITE 240
City: Saint Paul
State: Minnesota
ZIP Code: 55110-5131
Phone: (651) 770-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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