Individual
DR. STACEY LYNN POZNANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
Mailing address
9387 PARAGON MILLS LN, CENTERVILLE, OH 45458-4185
(608) 770-6005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
009855
OH
207P00000X
Emergency Medicine Physician
51684
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069003
—
OH
Enumeration date
01/04/2007
Last updated
08/06/2019
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