| Sheila J. Stanek, D.o., Pc | |
|
1411 W 7th Ave Ste 102 Stillwater OK 74074-4300 | |
| (405) 377-8367 | |
| (405) 377-5628 |
| Full Name | Sheila J. Stanek, D.o., Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1411 W 7th Ave Ste 102, Stillwater, Oklahoma |
| Authorized Official Name and Position | Sheila Joann Stanek (PHYSICIAN) |
| Authorized Official Contact | 4053778367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila J. Stanek, D.o., Pc 1411 W 7th Ave Ste 102 Stillwater OK 74074-4300 Ph: (405) 377-8367 | Sheila J. Stanek, D.o., Pc 1411 W 7th Ave Ste 102 Stillwater OK 74074-4300 Ph: (405) 377-8367 |
| NPI Number | 1609858877 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 04/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609858877 | NPI | - | NPPES |
| 100138090A | Medicaid | OK | |
| 200389520A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 3222 (Oklahoma) | Secondary |
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