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Individual

GALEN W STAHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18300 MTKA BLVD., STE 210, DEEPHAVEN, MN 55391-3272
(952) 404-9124
(952) 404-9273
Mailing address
18300 MTKA BLVD., STE 210, DEEPHAVEN, MN 55391-3272
(952) 404-9124
(952) 404-9273

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23848
MN

Other

Enumeration date
12/13/2006
Last updated
07/09/2007
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