Individual
ERIK CHRISTIAN STABELL
Active
Individual
ERIK CHRISTIAN STABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-069182
IL
207RI0200X
Infectious Disease Physician
036-069182
IL
207RI0200X
Infectious Disease Physician
R6N20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069182
—
IL
01
—
207219
PTAN
IL
05
—
207945908
—
MO
Enumeration date
08/19/2005
Last updated
03/27/2024
Update your record
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