Individual
ROBERT E STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252039
PREFERRED ONE
—
01
—
0704379
MEDICA HEALTH PLANS
—
01
—
112006
U CARE
—
01
—
23509
ARAZ GROUP AMERICAS PPO
—
01
—
518KOST
BLUE CROSS BLUE SHIELD
—
01
—
527KOST
BLUE CROSS BLUE SHIELD
—
05
—
840798300
—
MN
01
—
FAC#50A61CE
BLUE CROSS BLUE SHIELD
—
01
—
FAX#50A45CE
BLUE CROSS BLUE SHIELD
—
01
—
HP35866
HEALTH PARTNERS
—
Enumeration date
11/15/2005
Last updated
12/13/2011
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