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Contact Information

CRAIG STIBAL
3800 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN55416-2527
 Phone: 952-993-7750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CRAIG STIBAL · (Male)

NPI # 1104803881
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2005
Last updated 10/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 602
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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