Individual
STEPHANIE M KRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1111 HAYES AVE, SANDUSKY, OH 44870-3323
(419) 557-7455
(419) 557-7782
Mailing address
1111 HAYES AVE, SANDUSKY, OH 44870-3323
(419) 557-7455
(419) 557-7782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.017125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357373
—
OH
01
—
34.017125
ELICENSE OHIO PROFESSIONAL LICENSURE
OH
Enumeration date
04/21/2021
Last updated
02/04/2025
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