NPI 1194756601

Gustav E Staahl, MD

Practitioner Anesthesiology Physician Fargo, ND

Practice location

Address: 3000 32nd Ave S, Fargo, ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Mailing address: PO Box 6001, Fargo, ND 58108-6001

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 4003 (ND)

Other Anesthesiology providers in North Dakota →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 26153 (MN)

Registry record

NPI: 1194756601
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 13 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.