| Doctor Name: | JOHN G STANKO |
| NPI Number: | 1558549709 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 107 Dilworth St Glendive, MT - 593302053 |
| Business Phone Number: | 4063458925 |
| Business Fax Number: | 4063458908 |
| Mailing Address: | 107 Dilworth St, GLENDIVE |
| State: | MT |
| Postal Code: | 593302053 |
| Phone Number: | 4063458925 |
| Fax Number: | 4063458908 |
| NPI Enumeration Date: | 02/08/2008 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |