Individual
KIRK STIFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E MARKET ST, AKRON, OH 44304-1619
(330) 375-3369
(330) 375-3769
Mailing address
PO BOX 1649, AKRON, OH 44309-1649
(330) 864-8900
(330) 869-8924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
350691935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138488
ANTHEM
OH
05
—
0226580
—
OH
01
—
341779226002
MED MUT OF OH/ 1 OF 2
OH
01
—
341779226003
MED MUT OF OH/ 2 OF 2
OH
01
—
341779226KST
SUMMACARE
OH
01
—
61641
UNITED HEALTHCARE
OH
01
—
930053207
RR MEDICARE
OH
Enumeration date
06/05/2006
Last updated
01/12/2015
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