Individual
JOHN FREDERICK STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 E 7TH ST, MORRIS, MN 56267-1312
(320) 589-4008
(320) 589-4227
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20829
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110086056
RAILROAD MEDICARE #
MN
01
—
121704
UCARE PROVIDER #
MN
01
—
3T173ST
BLUE CROSS PROVIDER #
MN
05
—
432572900
—
MN
Enumeration date
09/20/2006
Last updated
02/17/2017
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