Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2014018988 | MO |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 57.245320 | OH |
NPI | 1467867119 |
---|---|
Provider Name | Dr. Anne Stachowicz |
First Address | Cincinnati, OH 45219-2906 |
Second Address | Cincinnati, OH 45219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 17/04/2019 |