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General NPI Number Information
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NPI Number | 1336505429
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Entity Type | Individual
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Provider Name | JOHN MICHAEL STINGLE PA
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Gender | Male
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 927 TRETTEL LN
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City | CLOQUET
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State | MN
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Zip | 55720-1345
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Country | US
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Telephone | 218-879-1227
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Fax | 218-451-5957
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Provider Business Mailing Address
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Address Line | 927 TRETTEL LN
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City | CLOQUET
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State | MN
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Zip | 55720-1345
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Country | US
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Telephone | 218-879-1227
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Fax | 765-973-9233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 3591
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.0009530
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 15161
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License Number State | MN
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