Doctor Name: | MICHAEL G STIFF |
NPI Number: | 1902837800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., INC |
License Number: | 35048596 |
Business Practice Address: | 495 Cooper Rd #330 Westerville, OH - 430818780 |
Business Phone Number: | 6148988576 |
Business Fax Number: | 6148988577 |
Mailing Address: | Po Box 374, HILLIARD |
State: | OH |
Postal Code: | 430260374 |
Phone Number: | 6148790434 |
Fax Number: | 6148790435 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35048596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |