Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35122271 | OH |
N | 207X00000X | Orthopaedic Surgeon | 46014 | AZ |
N | 207X00000X | Orthopaedic Surgeon | MD448709 | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 46014 | AZ |
NPI | 1417143520 |
---|---|
Provider Name | Matthew Joseph Stonestreet |
First Address | Canton, OH 44718-3603 |
Second Address | Canton, OH 44718-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 14/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
684559 | (05) | AZ |