Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA DEETTE STABER, MD
Active Sole ProprietorDR. LISA DEETTE STABER, MD is a Family Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1629035308 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1629035308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2006 (20.300506253669 yrs)
- Last Updated
- May 9, 2017
- Licenses
-
4301086765 (MI)38751-020 (WI)38922 (MN)38751-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20635 MISHAWAKA SHORES TRLGRAND RAPIDS, MN, 557446071Browse MN providers · Browse ZIP 55744
- Phone
- 2183980256
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JACK VICTOR CARLISLE | MD | 1326023060 |
| DR. PATRICIA C. CARLIN-JANSSEN | MD | 1033195805 |
| DR. CATHY J. CLEARY | MD | 1811973670 |
| DR. EDWIN A. ANDERSON | MD | 1083691828 |
| DR. CARY R. COLE-ANTHONY | MD | 1437136090 |
| DR. SCOTT GERLING | MD | 1912984550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.