Stachowiak, Todd P

Stachowiak, Todd P is an individual health care provider with primary practice located at 3350 Gratiot Blvd , Marysville MI 48040-2121. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stachowiak, Todd P can be contacted via phone (810) 364-4000.

Contact Information

Primary practice address
3350 Gratiot Blvd Marysville MI 48040-2121
Phone: (810) 364-4000
Fax: (810) 364-5995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003463 Michigan

Profile Details

NPI number 1831166768
LBN Legal business name Stachowiak, Todd P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831166768 NPPES
Michigan MEDICAID 1831166768

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