Individual
STANLEY P DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32129
MN
208600000X
Surgery Physician
Primary
32129
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382390300
—
MN
Enumeration date
04/13/2006
Last updated
03/30/2021
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