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Individual

JOHN A STEFANIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
410 WEST TENTH AVE, N429 DOAN HALL, COLUMBUS, OH 43210
(614) 293-4705
(614) 293-8153
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA6362
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2211163
OH
Enumeration date
04/22/2006
Last updated
10/18/2017
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