Stawiski, Marek A
Stawiski, Marek A is an individual health care provider with primary practice located at 833 Michigan St Ne Suite 102, Grand Rapids MI 49503-3523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Stawiski, Marek A can be contacted via phone (616) 459-8209.Contact Information
Primary practice address
833 Michigan St Ne Suite 102
Grand Rapids MI 49503-3523
Phone: (616) 459-8209
Fax: (616) 459-0313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 4301030349 | Michigan |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301030349 | Michigan |
Profile Details
| NPI number | 1679573331 |
|---|---|
| LBN Legal business name | Stawiski, Marek A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jan 22nd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679573331 | NPPES |
| Michigan | Other | 0724106641 | BCBSM |
| Michigan | MEDICAID | 4687587 | BCBSM |
| Michigan | Other | P00236428 | BCBSM |
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