Individual
DR. JADWIGA LIDIA STANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST., CINCINNATI, OH 45219
(513) 584-7545
Mailing address
P.O. BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45206
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.099783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069364
—
OH
Enumeration date
04/20/2009
Last updated
08/09/2017
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