Provider Demographics
NPI:1871539304
Name:TOPLEY, STUART R (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:R
Last Name:TOPLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:3902 13TH AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3357
Practice Address - Country:US
Practice Address - Phone:701-364-6600
Practice Address - Fax:701-364-6628
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN37840207Q00000X
ND7200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP19570OtherHEALTHPARTNERS #
MN2713OtherSIOUX VALLEY #
MN306221000Medicaid
ND50G93TOOtherMNBS #
MNMN100037OtherLHS #
ND00T62TOOtherMNBS #
MN126103OtherUCARE #
ND86D18TOOtherMNBS #
MN0105982OtherMEDICA #
ND32T03TOOtherNDBS #
NDDA9011015632OtherPREFERRED ONE #
MN18674Medicaid
MN764855OtherAMERICA'S PPO/ARAZ #
MN8D998TOOtherMNBS #
ND0105981OtherMEDICA #
ND18748OtherNDBS #
ND0105981OtherMEDICA #
ND18748Medicare ID - Type UnspecifiedND MEDICARE #
MN089004382Medicare ID - Type UnspecifiedMN MEDICARE #
MN764855OtherAMERICA'S PPO/ARAZ #