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Michael E Stanik, MD
Specialist in Prescott, Arizona
NPI 1609812247

Michael E Stanik is a Specialist based in Prescott, AZ. Michael E Stanik practices in Prescott, AZ and has the professional credentials of MD. The NPI Number for Michael E Stanik is 1609812247 and holds a License No. 25078 (Arizona).

The current practice location address for Michael E Stanik is 811 Ainsworth Dr, Prescott, AZ and can be reached out via phone at 928-771-5282 and via fax at 928-771-5283. You can also correspond with Michael E Stanik through the mailing address at 811 AINSWORTH DR, PRESCOTT, AZ - 86301-1687 (mailing address contact number: 928-771-5282).

Location: 811 Ainsworth Dr, Prescott, AZ, 86301-1687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609812247
Provider Name
Michael E Stanik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
811 Ainsworth Dr, Prescott, AZ, 86301-1687
Phone Number
928-771-5282
Fax Number
928-771-5283
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
861999 05 AZ
AZ0755280 01 AZ BLUE CROSS/BLUE SHIELD
P00143552 01 AZ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
811 Ainsworth Dr
City
Prescott
State
Arizona
Zip
86301-1687
Phone Number
928-771-5282
Fax Number
928-771-5283
person
Provider Business Mailing Address Details
Address
811 Ainsworth Dr
City
Prescott
State
Arizona
Zip
86301-1687
Phone Number
928-771-5282
Fax Number
928-771-5283
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25078 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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