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John M Stadnyk, M.D.

Emergency Medicine in Roanoke, VA. Individual provider (NPI-1).

NPI number1114017993
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1114017993
Entity type
Individual (NPI-1)
Name
John M Stadnyk
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 13, 2006
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine0101234785VAYes
208M00000X Hospitalist0101234785VA

Practice location

1906 Belleview Ave Se
Emergency Dept
Roanoke, VA 24014-1838

Phone 540-981-7000 · Fax 540-981-9550

Mailing address

Po Box 2080
Kilmarnock, VA 22482-2080

Phone 804-435-3508

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