Individual
DR. PAUL DAVID STADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
706 DEMERS AVE, EAST GRAND FORKS, MN 56721-1842
(218) 773-7474
(218) 773-8859
Mailing address
706 DEMERS AVE, EAST GRAND FORKS, MN 56721-1842
(218) 773-7474
(218) 773-8859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8968
MN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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