Organization
MICHAEL D STANIEC M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOUGLAS STANIEC M.D. (PRESIDENT)
(602) 548-1600
Entity
Organization
Contact information
Practice address
5601 W EUGIE AVE STE 203, GLENDALE, AZ 85304-1258
(602) 548-1600
(602) 548-2470
Mailing address
5601 W EUGIE AVE STE 203, GLENDALE, AZ 85304-1258
(602) 548-1600
(602) 548-2470
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10600
AZ
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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