Individual
GREG STETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35940 ITHACA DR, AVON, OH 44011-1886
(440) 937-3872
Mailing address
35940 ITHACA DR, AVON, OH 44011-1886
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.086985
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2872940
—
OH
01
—
4249351
MEDICARE
OH
Enumeration date
05/16/2007
Last updated
06/29/2011
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