Individual
ROBERT J STANSBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3881
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35-068684
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224333
UNISON
OH
01
—
000000533004
ANTHEM
OH
05
—
2230731
—
OH
01
—
260047034
RAILROAD MEDICARE
OH
01
—
364043
WELLCARE MEDICAID
OH
01
—
7158756
AETNA
OH
01
—
P00698357
MEDICARE RAILROAD
OH
Enumeration date
07/20/2006
Last updated
01/15/2021
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