Craig Stibal, | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-7750 | |
Not Available |
Full Name | Craig Stibal |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 29 Years |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104803881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 602 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Craig Stibal, 6465 Wayzata Blvd, Ste 315, Minneapolis, MN 55426-1728 Ph: () - | Craig Stibal, 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-7750 |
Stephen H Powless, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3900 Park Nicollet Blvd, Park Nicollet Clinic Slp, St Louis Park, MN 55416 Phone: 952-993-2794 Fax: 952-993-1955 | |
Dr. Kyle Wayne Abben, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 | |
James Mazzuca, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-2794 | |
David Warren Pederson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3670 | |
Dr. Chloe Frances Sakow, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 | |
Jason Havey, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 |