Individual
MICHAEL J STADNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
36 CHESTERFIELD LAKE ROAD, CHESTERFIELD, MO 63005-4505
(573) 334-6071
(573) 334-4739
Mailing address
PO BOX 2153 DEPT 30755, BIRMINGHAM, AL 35287-9283
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
103346
MO
2085R0202X
Diagnostic Radiology Physician
61451
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194361
BLUE SHIELD
—
05
—
208094714
—
MO
01
—
27716
GROUP HEALTH PLAN
—
01
—
332305
HEALTHLINK
—
01
—
3848
CMR
—
01
—
58770V12822
HEALTHCARE USA
—
01
—
G32279
MERCY HEALTH PLAN
—
01
—
P00295078
RAILROAD MEDICARE
—
05
—
Q061129
—
TN
Enumeration date
08/18/2006
Last updated
07/23/2025
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