John W Stoulil, PAC

NPI #1104800358 in Blaine, Minnesota

Provider Information

NPI Number: 1104800358
Entity Type: Individual
Name: John W Stoulil, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Dec 1, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 12175 ABERDEEN ST NE
City: Blaine
State: Minnesota
ZIP Code: 55449-4717
Phone: (763) 785-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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