Individual
ANGELA STILLWAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8730
(513) 475-8033
Mailing address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8730
(513) 475-8033
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34.011317
OH
208100000X
Physical Medicine & Rehabilitation Physician
58001737
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102809
—
OH
05
—
200957550
—
IN
01
—
M400071492
GROUP MEMBER PTAN
IN
Enumeration date
04/25/2007
Last updated
11/11/2025
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