Individual
JOHN W STOULIL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
12175 ABERDEEN ST NE, BLAINE, MN 55449-4717
(763) 785-4200
(763) 785-3314
Mailing address
12175 ABERDEEN ST NE, BLAINE, MN 55449-4717
(763) 785-4200
(763) 785-3314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9410
MN
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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