NPI Profile for CRAIG STIBAL in SAINT LOUIS PARK, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| 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 |
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| Hospital affiliation(s) |
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CRAIG STIBAL
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