NPI 1730347808

Todd Staniszewski OD PC

Organisation Preferred Provider Organization Clarkston, MI

Practice location

Address: 5874 Dixie Hwy, Clarkston, MI 48346-3358
Phone: (248) 620-1100
Fax: (248) 620-1196

Authorised official

Name: Janet Hurst
Title: Billing
Phone: (248) 620-1100

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 4901003704 (MI)

Other Preferred Provider Organization providers in Michigan →

Registry record

NPI: 1730347808
Entity type: Organization
NPI issued: 27 May 2008
Record last updated: 21 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.