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:
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Health care specialties

SpecialtyCodeLicense #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 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 1679573331 NPPES
Michigan Other 0724106641 BCBSM
Michigan MEDICAID 4687587 BCBSM
Michigan Other P00236428 BCBSM

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