Individual
SCOTT STASZAK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3727 WILDER RD STE A&B, BAY CITY, MI 48706-2367
(989) 980-9747
Mailing address
500 HANCOCK ST, SAGINAW, MI 48602-4224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009073
MI
Other
Enumeration date
12/17/2014
Last updated
08/07/2019
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