Individual
DR. STEPHEN WADE STANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE # MLC2005, CINCINNATI, OH 45229-3026
(513) 636-4259
(513) 636-4267
Mailing address
3333 BURNET AVE # MLC2005, CINCINNATI, OH 45229-3026
(513) 636-4259
(513) 636-4267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.091392
OH
208000000X
Pediatrics Physician
MD431993
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35.091392
OH
2080P0203X
Pediatric Critical Care Medicine Physician
60217239
WA
Other
Enumeration date
07/25/2007
Last updated
07/21/2022
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