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Individual

MR. DEAN ALAN STULZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
100 SOUTH 2ND STREET, SARTELL, MN 56377-1977
(320) 251-2600
(320) 251-4763
Mailing address
P.O. BOX 296, SARTELL, MN 56377-1977
(320) 251-2600
(320) 251-4763

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10395
MN
363A00000X
Physician Assistant
PA04471
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1219767
ARAZ
MN
01
169318P539
UCARE
MN
01
31T18IN
BCBS
MN
01
9823046
MEDICA
MN
Enumeration date
09/16/2006
Last updated
04/06/2017
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