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Individual
DR. MATTHEW TIMMINS STAINBROOK
Active
Individual
DR. MATTHEW TIMMINS STAINBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS009810L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001972729002
—
PA
01
—
1548142
GATEWAY HEALTH PLAN
—
01
—
1741708
HIGHMARK BLUE SHIELD
PA
01
—
180789
UNISON HEALTH PLAN
—
01
—
704495
UPMC HEALTH PLAN
—
01
—
7239118
AETNA
—
Enumeration date
06/04/2006
Last updated
11/07/2007
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