Individual provider · Type 1 NPI

Craig Stibal

Primary Podiatric Medicine Podiatrist · St. Louis Park, MN

NPI number 1104803881 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Call (952) 993-7750 Map

Mailing address

6465 Wayzata Blvd, Ste 315
Minneapolis, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X602 (MN)

Primary Podiatric Medicine Podiatrist: Definition to come...

439 other providers at this address

About NPI 1104803881

Craig Stibal's National Provider Identifier is 1104803881, issued on Dec 23, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 11, 2011.