Whalio Doctors

NPI 1114911377

Myron B Stachniw, MD

Practitioner Orthopaedic Surgery Physician Peoria, IL

Practice location

Address
6000 N Allen Rd, Peoria, IL 61614-3294
Phone
(309) 691-1400
Fax
(309) 693-3197

Registered specialties (3)

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 036049846 (IL)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 036049846 (IL)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 36049846 (IL)

Registry record

NPI
1114911377
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Sep 2005
Record last updated
1 Aug 2022

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.