Provider Demographics
NPI:1013012459
Name:GILBERT, STANLEY CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:CRAIG
Last Name:GILBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:901 SQUALICUM WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-676-1470
Mailing Address - Fax:360-676-0377
Practice Address - Street 1:905 SQUALICUM WAY
Practice Address - Street 2:STE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2076
Practice Address - Country:US
Practice Address - Phone:360-676-1470
Practice Address - Fax:360-676-0377
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00033964207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1110139Medicaid
D16930Medicare UPIN
WA1110139Medicaid