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Individual

DR. GREGORY S STOCKFISH

Active
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Individual

DR. GREGORY S STOCKFISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.,F.A.C.F.A.S

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002387
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211119
ANTHEM
OH
01
—
000000273180
ANTHEM
OH
01
—
030507736028
CARESOURCE
OH
05
—
0707702
—
OH
01
—
311795350030
CARESOURCE
OH
01
—
4649800001
ADMINASTAR
OH
01
—
4778110001
ADMINASTAR
OH
01
—
480032425
RAILROAD MEDICARE
OH
01
—
480035261
RAILROAD MEDICARE
OH
Enumeration date
08/16/2005
Last updated
02/26/2008
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