Individual
MARSHALL STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 TONKAWA RD, ORONO, MN 55356-9240
(612) 723-7276
Mailing address
1160 TONKAWA RD, ORONO, MN 55356-9240
(612) 723-7276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27995
MEDICAL LICENSE
MN
Enumeration date
12/17/2015
Last updated
12/17/2015
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