JOHN W STOULIL (PAC) – Physician Assistant, NPI 1104800358

JOHN W STOULIL (PAC) is a healthcare provider. based in Blaine, Minnesota. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. 9410 (MN). The NPI Number for JOHN W STOULIL (PAC) is 1104800358

Main info

Male
Name
JOHN W STOULIL (PAC)
NPI
1104800358
Phone
(763) 785-4200
Address
12175 ABERDEEN ST NE
Enumeration Date
1 December 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN W STOULIL (PAC)

  • 12175, Aberdeen Street Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 554494717

    Phone: (763) 785-4200

    Fax: (763) 785-3314

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55449)

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Reviews

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Frequently asked questions

Where can patients find JOHN W STOULIL (PAC)'s NPI?
You can confirm JOHN W STOULIL (PAC) with NPI 1104800358; it appears in the national provider directory.
Does this profile mean JOHN W STOULIL (PAC) is currently active?
Yes — JOHN W STOULIL (PAC) appears active in the national provider directory.
What field does JOHN W STOULIL (PAC) work in?
You can think of JOHN W STOULIL (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN W STOULIL (PAC)?
The page summarizes Blaine, Minnesota for JOHN W STOULIL (PAC); expand the address list for detail.
Is JOHN W STOULIL (PAC) a real provider?
This page reflects official NPPES data for NPI 1104800358. Always confirm identity and privileges with the practice and licensing boards.

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