Individual
MICHAEL W STOGSDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5538 PHILADELPHIA DR, DAYTON, OH 45415-3062
(937) 424-3589
Mailing address
3751 CORKWOOD DR, DAYTON, OH 45424-4925
(937) 236-1636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083635
—
OH
Enumeration date
01/19/2006
Last updated
06/05/2013
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