Individual
DR. STANLEY PETER KOKOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 CHERRY ST STE 1250, TOLEDO, OH 43608
(419) 251-3180
(419) 251-3849
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME60880
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036077018
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35133477
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME60880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111680000
—
FL
01
—
YA81B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/23/2006
Last updated
10/19/2021
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