Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 125.069775 | IL |
NPI | 1255695029 |
---|---|
Provider Name | Dr. Christopher Bennett Stalling |
First Address | Alliance, OH 44601-4355 |
Second Address | Alliance, OH 44601-4355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 20/04/2021 |