Individual
MR. MAREK A STAWISKI
Active
Individual
MR. MAREK A STAWISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301030349
MI
207ND0900X
Dermatopathology Physician
Primary
4301030349
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0724106641
BCBSM
MI
05
—
4687587
—
MI
01
—
P00236428
RRB MEDICARE
MI
Enumeration date
07/26/2005
Last updated
01/22/2014
Update your record
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