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Individual

DAVID GRANT STAINBROOK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(567) 307-7605
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
34005641
OH
207RR0500X
Rheumatology Physician
OS013804
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0926001
OH
Enumeration date
01/02/2007
Last updated
03/06/2026
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