Individual
FREDERICK MARVIN STIBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1303 CHARLES ST, PARK RAPIDS, MN 56470-1241
(701) 200-9483
Mailing address
701 VILLA PARK WAY, WEST FARGO, ND 58078-4364
(701) 200-9483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113776
MN
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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