Organization
BONNIE STAMATIS, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE STAMATIS M.D. (PRESIDENT)
(440) 365-4800
Entity
Organization
Contact information
Practice address
5077 WATERFORD DR STE 305, SHEFFIELD VILLAGE, OH 44035-0705
(440) 365-4800
Mailing address
860 E BROAD ST, ELYRIA, OH 44035-6542
(440) 365-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35064311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908281
—
OH
Enumeration date
01/23/2007
Last updated
12/06/2022
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