Individual
GUSTAV E STAAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26153
MN
207L00000X
Anesthesiology Physician
Primary
4003
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12404
—
ND
01
—
142067
UCARE #
ND
01
—
1619
NDBS #
ND
01
—
19418ST
MNBS #
ND
01
—
2000709
MEDICA #
ND
01
—
2000710
MEDICA #
ND
01
—
3535
SIOUX VALLEY #
ND
01
—
4F458ST
MNBS #
MN
01
—
676652
AMERICA'S PPO/ARAZ #
ND
05
—
860790700
—
ND
01
—
DA9011015591
PREFERRED ONE #
ND
01
—
HP38335
HEALTHPARTNERS #
ND
01
—
ND200063
LHS #
ND
Enumeration date
07/05/2006
Last updated
07/13/2012
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