Individual
EDWARD JOHN STANULEVICH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
Mailing address
5800 LAURENT DR APT 306, PARMA, OH 44129-5968
(256) 636-1550
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
59.000826
OH
Other
Enumeration date
04/08/2020
Last updated
04/27/2020
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