Individual
PETER P STANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-6255
(614) 293-8518
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-6255
(614) 293-8518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52085
MN
207RG0100X
Gastroenterology Physician
Primary
35.097099
OH
207RG0100X
Gastroenterology Physician
Primary
35097099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/24/2008
Last updated
04/17/2026
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