Most Relevant Information
Provider Data
| NPI Number: | 1003834698 |
| Provider Name: | JOHN STANSBURY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 20150 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1020 BANDANA BLVD W
SAINT PAUL
MN
551085107
Practice Location Phone/Fax
| Phone: | 6516417000 |
| Fax: | 6516417166 |
Provider Mailing Location
1021 BANDANA BLVD E
SUITE 200
SAINT PAUL
MN
551085113
Provider Mailing Phone/Fax
| Phone: | 6516422700 |
| Fax: | 6516429441 |