Individual
DR. MICHAEL P STANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7067 TIFFANY BLVD, SUITE 150, YOUNGSTOWN, OH 44514-1981
(330) 726-9077
(330) 726-8715
Mailing address
7067 TIFFANY BLVD, SUITE 150, YOUNGSTOWN, OH 44514-1981
(330) 726-9077
(330) 726-8715
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34003460
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516098
—
OH
Enumeration date
03/20/2006
Last updated
12/05/2007
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