Individual
PAUL WILLIAM STOKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1125 CEDAR ST, SUITE 106, MONTICELLO, MN 55362-4663
(763) 295-4201
(763) 295-3895
Mailing address
1125 CEDAR ST, SUITE 106, MONTICELLO, MN 55362-4663
(763) 295-4201
(763) 295-3895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5232
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086G6ST
BCBS OF MN
MN
01
—
6405115
MEDICA
MN
01
—
650001782
PTAN
MN
05
—
691558200
—
MN
01
—
HP34792
HEALTHPARTNERS
MN
01
—
P00266011
RAILROAD MEDICARE
MN
Enumeration date
06/07/2006
Last updated
05/09/2013
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