Individual
MICHAEL G STIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., INC
Contact information
Practice address
495 COOPER RD, #330, WESTERVILLE, OH 43081-8780
(614) 898-8576
(614) 898-8577
Mailing address
PO BOX 374, HILLIARD, OH 43026-0374
(614) 879-0434
(614) 879-0435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35048596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672204
—
OH
Enumeration date
07/06/2006
Last updated
01/28/2011
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