MEDICARE: DR. PAUL ANTHONY STAHLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	27377	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27377	OTHER	MN	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093782104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ANTHONY STAHLER MD

Provider Business Mailing Address
First Line	:	18740 PANAMA AVE
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-2818
Country	:	US
Telephone Number	:	952-440-6920
Fax Number	:

Provider Business Practice Location Address
First Line	:	18740 PANAMA AVE
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-2818
Country	:	US
Telephone Number	:	952-440-6920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/30/2010

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