Individual
STEPHEN STONE HUMBLE
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) 364-6800
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17607
ND
207P00000X
Emergency Medicine Physician
PT17607
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
05/15/2018
Last updated
08/27/2021
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