Individual
ROBERT WALTER STUBENVOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30028
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31591500
—
WI
05
—
918800200
—
MN
Enumeration date
07/17/2006
Last updated
05/10/2011
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