Individual
ALYSSA CHARLOTTE STACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-125773
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2013
Last updated
11/10/2016
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