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Sonja R Stiller, M.D.

Phlebology in Mentor, OH. Individual provider (NPI-1).

NPI number1316922255
StatusActive
Last updated in NPPESSep 9, 2015

Details

NPI
1316922255
Entity type
Individual (NPI-1)
Name
Sonja R Stiller
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 14, 2005
Last updated
Sep 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
202K00000X Phlebology350745225OHYes
207P00000X Emergency Medicine35074522SOH

Practice location

7200 Mentor Ave
Mentor, OH 44060-7522

Phone 440-710-1140

Mailing address

7200 Mentor Ave
Mentor, OH 44060-7522

Phone 440-710-1140

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