Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 54276 | MN |
N | 204F00000X | Transplant Surgeon | 64066-20 | WI |
N | 208200000X | Surgeon | 54276 | MN |
N | 208600000X | Surgeon | 54276 | MN |
N | 2086S0102X | Surgical Critical Care | 54276 | MN |
NPI | 1346477171 |
---|---|
Provider Name | Paul Anthony Stahler |
First Address | Minneapolis, MN 55415-1623 |
Second Address | Minneapolis, MN 55415-1623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2009 |
Last Update Date | 14/05/2021 |