Daniel Stopka MD

NPI 1144458092 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1144458092
Gender Male
Enumeration Date 06/30/2009
Last Updated 03/22/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
736 SW WASHINGTON ST
SUITE 2A
PEORIA IL, 61602-1665, US
Phone (309) 497-0300
Fax
Business Location
736 SW WASHINGTON ST
SUITE 2A
PEORIA IL, 61602-1665, US
Phone (309) 497-0300
Fax
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number 125057183
Remove 1144458092 NPI Number
 

According to our database, Daniel Stopka MD NPI is 1144458092, taxonomy code is 390200000X and license number is 125057183, license state is located at Illinois. Daniel Stopka MD physically located at 736 Sw Washington St, Peoria IL, 61602-1665. NPI Number Daniel Stopka MD has the Individual type.

Sponsored links

1144458092 NPI number is provided on an as is basis without warranty of any kind. 1144458092 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Stopka MD are for informational purposes only.