Provider Demographics
NPI:1699766279
Name:STOYKE, PHILIP W (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:W
Last Name:STOYKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1825 WOODWINDS DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2202
Mailing Address - Country:US
Mailing Address - Phone:651-232-6700
Mailing Address - Fax:320-732-6913
Practice Address - Street 1:1825 WOODWINDS DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2202
Practice Address - Country:US
Practice Address - Phone:651-232-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
151448OtherU-CARE
0109401OtherMEDICA HEALTH PLANS
1921253OtherFIRST HEALTH PLAN
1024850OtherPREFERRED ONE
HP31705OtherHEALTH PARTNERS
168435300OtherMEDICAL ASSISTANCE
1643950OtherARAZ GROUP/AMERICAS PPO
63G18STOtherBLUE CROSS BLUE SHIELD