Individual
DR. ANDREW JOHN STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
(701) 642-7055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10708
ND
208600000X
Surgery Physician
D0057295
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052517
PREFERREDONE
—
05
—
14398
—
ND
05
—
248487100
—
MN
01
—
30107
ND BCBS
NC
05
—
511208700
—
MD
01
—
HP84016
HEALTHPARTNERS
—
01
—
PENDING
MN BCBS
—
Enumeration date
10/24/2006
Last updated
12/05/2024
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