Individual provider · Type 1 NPI

John W. Stoulil, PAC

Physician Assistant · Blaine, MN

NPI number 1104800358 Active

Practice location

12175 Aberdeen St NE
Blaine, MN 55449-4717

Fax (763) 785-3314

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9410 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104800358

John W. Stoulil, PAC's National Provider Identifier is 1104800358, issued on Dec 1, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Blaine, MN. The record was last updated on Jul 13, 2026.