Individual
DR. ANDREA LEE STAHULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054488
CO
207W00000X
Ophthalmology Physician
4301097496
MI
2084N0400X
Neurology Physician
4301097496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024992
KAISER COMMERCIAL NUMBER
CO
05
—
74124862
—
CO
Enumeration date
01/30/2008
Last updated
12/24/2014
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