Organization
JACK STANKO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE HOLBERT (OFFICE MANAGER)
(614) 996-8011
Entity
Organization
Contact information
Practice address
147 SCHOOLHOUSE LN, COLUMBUS, OH 43228-1214
(614) 996-8011
(614) 996-8015
Mailing address
147 SCHOOLHOUSE LN, COLUMBUS, OH 43228-1214
(614) 996-8011
(614) 996-8015
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063802
—
OH
Enumeration date
07/17/2007
Last updated
04/08/2019
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