Individual
MICHAEL DOUGLAS STANIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 W EUGIE AVE, SUITE 203, GLENDALE, AZ 85304-1255
(602) 548-1600
(602) 548-2470
Mailing address
42429 N CROSS TIMBERS CT, ANTHEM, AZ 85086-1098
(623) 551-1097
(602) 548-2470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10600
AZ
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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