Individual
DR. PAUL ANTHONY STAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18740 PANAMA AVE, PRIOR LAKE, MN 55372-2818
(952) 440-6920
Mailing address
18740 PANAMA AVE, PRIOR LAKE, MN 55372-2818
(952) 440-6920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27377
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067072300
—
MN
01
—
27377
MEDICAL LICENSE
MN
Enumeration date
03/07/2006
Last updated
07/30/2010
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