Individual
MATTHEW B STANLEY
Active
Individual
MATTHEW B STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3964
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121002
PRIMEWEST
MN
05
—
12200
—
ND
01
—
23018
SANFORD HEALTH PLAN
SD
01
—
241L8ST
CC SYSTEMS/ BLUE PLUS
MN
01
—
25054
ARAZ/ AMERICA'S PPO
SD
05
—
3148379
—
IA
01
—
370624200
DEPT OF LABOR
SD
01
—
3964
DAKOTACARE
SD
01
—
412991017061
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
4995812
BLUE CROSS
SD
01
—
57108C021
WPS TRICARE
SD
05
—
619014600
—
MN
01
—
6438
MIDLANDS CHOICE
SD
05
—
7100963
—
SD
01
—
HP32074
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
10/11/2018
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