Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 36.003710 | OH |
N | 222Z00000X | Podiatrist | 36.003710 | OH |
Y | 213EP1101X | Primary Podiatric Medicine | 36.003710 | OH |
N | 213ES0103X | Foot & Ankle Surgery | 36.003710 | OH |
N | 213ES0131X | Foot Surgery | 36.003710 | OH |
NPI | 1326308297 |
---|---|
Provider Name | Jennifer Gross Stoiber |
First Address | Put In Bay, OH 43456-6402 |
Second Address | Sandusky, OH 44870-4736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2012 |
Last Update Date | 22/03/2021 |