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Individual

DR. SHEILA JOANN STANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1411 W 7TH AVE STE 102, STILLWATER, OK 74074-4300
(405) 377-8367
(405) 377-5628
Mailing address
1411 W 7TH AVE STE 102, STILLWATER, OK 74074-4300
(405) 377-8367
(405) 377-5628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3222
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100138090A
OK
05
100138090C
OK
Enumeration date
01/05/2006
Last updated
04/08/2013
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