Individual
HOWARD J STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 HWY 96 E, MAIL STOP 32300A, WHITE BEAR LAKE, MN 55110-7693
(651) 653-2100
(651) 653-2111
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961582200
—
MN
Enumeration date
02/16/2006
Last updated
07/08/2007
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