Individual
ANDREW P STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4048 DRESSLER RD NW STE 100, CANTON, OH 44718-2784
(330) 494-2097
(330) 494-9750
Mailing address
PO BOX 35006, CANTON, OH 44735-5006
(330) 494-2097
(330) 494-9750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35078915
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
35078915
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130023468
RAILROAD MEDICARE
OH
05
—
2230786
—
OH
Enumeration date
06/01/2006
Last updated
06/04/2021
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