Individual
DR. MATTHEW JOHN STASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1100 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-3946
(440) 230-1113
(440) 230-5314
Mailing address
1100 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-3946
(440) 230-1113
(440) 230-5314
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
4194
OH
Other
Enumeration date
09/16/2011
Last updated
05/07/2015
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