Individual
ROBERT DENNIS STATON
Active
Individual
ROBERT DENNIS STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25212
MN
2084P0800X
Psychiatry Physician
4169
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099398100
—
MN
01
—
1010543
PREFERREDONE
MN
01
—
116458
UCARE MINNESOTA
MN
05
—
1455906
—
ND
01
—
59200ST
BLUE SHIELD OF MINNESOTA
MN
Enumeration date
06/02/2006
Last updated
04/11/2017
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