Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 35.088675 | OH |
NPI | 1043343312 |
---|---|
Provider Name | Dr. Andrey Sasha Stojic |
First Address | Bay Village, OH 44140-1421 |
Second Address | Lakewood, OH 44107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 16/11/2009 |