Individual
SUZANNE P STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4030 WEST HENDERSON ROAD, COLUMBUS, OH 43220
(614) 442-7500
(614) 442-4100
Mailing address
4030 WEST HENDERSON ROAD, COLUMBUS, OH 43220
(614) 442-7500
(614) 442-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.03054.NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2601232
—
OH
Enumeration date
12/29/2005
Last updated
06/03/2008
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