Individual
DR. ROD L STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
61 NORTH MULBERRY STREET, MANSFIELD, OH 44902
(419) 524-1616
Mailing address
61 NORTH MULBERRY STREET, MANSFIELD, OH 44902
(419) 524-1616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16119
OH
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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