Individual
MICHAEL J STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-4094
(480) 256-4683
Mailing address
2946 E. BANNER GATEWAY DRIVE, ATTN: PAYER CONTRACTING & RELATIONS, GILBERT, AZ 85234
(480) 256-4094
(480) 256-4683
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
34004882
OH
207RH0003X
Hematology & Oncology Physician
Primary
4598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0756829
—
OH
05
—
266225
—
AZ
01
—
4757290
CIGNA
AZ
Enumeration date
08/03/2006
Last updated
07/21/2022
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