Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 1992 | ND |
Y | 213EG0000X | General Practice | 1992 | ND |
NPI | 1003027517 |
---|---|
Provider Name | Dr. Steven J Midstokke |
First Address | Bismarck, ND 58501-1301 |
Second Address | Bismarck, ND 58504-6626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 08/07/2007 |