Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John W Stoulil, PAC

Individual provider Physician Assistant · NPI 1104800358

John W Stoulil, PAC is a Physician Assistant in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

12175 Aberdeen St NE
Blaine, MN 55449-4717
Phone: (763) 785-4200
Fax: (763) 785-3314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9410 (MN)

Record details

NPI number1104800358
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 13, 2026
Mailing address12175 Aberdeen St Ne, Blaine, MN 55449-4717

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