Individual
DR. BRIAN F STAINKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER - IMAGING NETWORK OF RI, PROVIDENCE, RI 02908-4728
(401) 456-2204
Mailing address
91 STILES RD, SALEM, NH 03079-5804
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD11149
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009779
—
RI
Enumeration date
11/28/2005
Last updated
01/03/2011
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