Dr. Matthew John Stasek
Independent Medical Examiner
1100 W Royalton Rd
Broadview Heights
, Ohio 44147-3946
Dr. Matthew John Stasek
Independent Medical Examiner
1100 W Royalton Rd
Broadview Heights
, Ohio 44147-3946
(440) 230-5314
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Matthew John Stasek
- 1100 W Royalton Rd
- Broadview Heights, OH
- Zip : 44147-3946
- Fax : (440) 230-5314
- Phone : (440) 230-1113
Second Address
- Dr. Matthew John Stasek
- 1100 W Royalton Rd
- Broadview Heights, OH
- Zip : 44147-3946
- Fax : (440) 230-5314
- Phone : (440) 230-1113
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 4194 | OH |
National Provider Identifier
| NPI | 1689956518 |
|---|---|
| Provider Name | Dr. Matthew John Stasek |
| First Address | Broadview Heights, OH 44147-3946 |
| Second Address | Broadview Heights, OH 44147-3946 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2011 |
| Last Update Date | 07/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U12682 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.