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NPI Code Detail

MEDICARE: FAITH STENBERG

MEDICARE: FAITH STENBERG
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
1183500000XPharmacist120181MN
2183500000XPharmacist5301ND

General Provider Information

NPI Number : 1528370079
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH STENBERG
Provider Business Mailing Address
First Line : 244 N MAIN ST
Second Line :
City : WATFORD CITY
State : ND
Zip : 58854-7122
Country : US
Telephone Number : 701-444-2410
Fax Number :
Provider Business Practice Location Address
First Line : 244 N MAIN ST
Second Line :
City : WATFORD CITY
State : ND
Zip : 58854-7122
Country : US
Telephone Number : 701-444-2410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2010
Last Update Date : 09/21/2022

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Directions to “ FAITH STENBERG ” Practice Location

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