Individual
DR. CHRISTINE SUSANNE STAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537-1745
(419) 891-6221
(419) 893-3394
Mailing address
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537-1745
(419) 891-6221
(419) 893-3394
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35095028
OH
208000000X
Pediatrics Physician
Primary
4301085739
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
4301085739
MI
2080P0214X
Pediatric Pulmonology Physician
4301085739
MI
208M00000X
Hospitalist Physician
4301085739
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301085739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094351
—
OH
Enumeration date
03/21/2007
Last updated
10/26/2011
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