Jerry Wayne Stanke M.D.

  • NPI 1043329220
According to our database, the NPI number for Jerry Wayne Stanke M.D. is 1043329220 and activated since 17 years ago. Jerry Wayne Stanke M.D. is an individual provider who specializes in Dermatology, and the primary practice location is 3555 Willow Lake Blvd, Saint Paul, MN 55110. You can also contact Jerry Wayne Stanke M.D. via telephone number is (651) 770-0110. Provider NPI information was last updated on 01/28/2013.

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Overview of Jerry Wayne Stanke M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/30/2006
  • Last updated: 01/28/2013

Primary Scrop of Practice

  • Taxonomy Code: 207N00000X
  • Specialty: Dermatology
  • License Number: 22442
  • License State: MN

Provider Mailing Address

  • Address: 60 Plato Blvd E
    Suite 270
    Saint Paul, MN 55107
  • Phone: 651-209-1600
  • Fax: 651-291-9169

Provider Practice Location

  • Address: 3555 Willow Lake Blvd
    Suite 240
    Saint Paul, MN 55110
  • Phone: 651-770-0110
  • Fax: 651-770-0134

Scope of Practice

  • Taxonomy Code: 207N00000X
  • Specialty: Dermatology
  • License Number: 22442
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 553002400
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry Wayne Stanke M.D.?
  • A: The npi number for Jerry Wayne Stanke M.D. is 1043329220.
  • Q: What are Jerry Wayne Stanke M.D.'s specialties?
  • A: Jerry Wayne Stanke M.D.'s specialties are Dermatology and different specialities.
  • Q: What is the medical license for Jerry Wayne Stanke M.D.?
  • A: The medical license number for Jerry Wayne Stanke M.D. is 22442 and issued in MN in USA.
  • Q: Where is Jerry Wayne Stanke M.D. practice location?
  • A: Jerry Wayne Stanke M.D. is practicing at 3555 Willow Lake Blvd, Saint Paul, MN 55110.
  • Q: How to contact Jerry Wayne Stanke M.D.?
  • A: You can contact Jerry Wayne Stanke M.D. via 651-770-0110.