Individual
DIANA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 ARCH ST, SUITE 1A, AKRON, OH 44304-1423
(330) 375-3315
Mailing address
1077 GORGE BLVD, AKRON, OH 44310-2408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-8259-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0943564
—
OH
Enumeration date
01/13/2006
Last updated
11/05/2015
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