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Individual

DR. LOUIS GREENE STANFIELD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, PHD

Contact information

Practice address
1730 GRAHAM AVE, SUITE 308, SAINT PAUL, MN 55116-3090
(651) 270-6849
(800) 631-6136
Mailing address
63 FERRIS LANE, UNIT K6, BARRIE, ONTARIO L4M5C-4
(651) 270-6849
(800) 631-6136

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1386176
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39723
AL
05
430003046
MN
05
CB8050K
IN
05
R20876
IL
Enumeration date
08/02/2005
Last updated
11/09/2009
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