Stano, Gary L

Stano, Gary L is an individual health care provider with primary practice located at 24445 Northwestern Hwy Suite 206, Southfield MI 48075-6501. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stano, Gary L can be contacted via phone (248) 799-0086.

Contact Information

Primary practice address
24445 Northwestern Hwy Suite 206 Southfield MI 48075-6501
Phone: (248) 799-0086
Fax: (248) 350-1178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001470 Michigan

Profile Details

NPI number 1669489449
LBN Legal business name Stano, Gary L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Aug 31st, 2012 - about 12 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 1669489449 NPPES
Michigan MEDICAID 5184125
Michigan Other 4856315900

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