Individual
DR. ROBERT L. STAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD025087E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951742
—
PA
05
—
1312103
—
MD
05
—
5307309
—
NJ
05
—
64068554
—
KY
Enumeration date
10/26/2006
Last updated
01/29/2020
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