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NPI Lookup from the NPI Registry — National Provider Identifier Database

MARISHA I STAWISKI, D.P.M – NPI #1730211970
Surgery, Foot & Ankle


Contact Information

MARISHA I STAWISKI, D.P.M
4100 LAKE DR SE
STE 300
GRAND RAPIDS, MI49546-8292
 Phone: 616-267-8860
 Fax: 616-267-8442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty
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NPI Profile & details for MARISHA I STAWISKI · (Female)

NPI Number 1730211970
Credentials D.P.M
Entity Individual
Enumeration date 03/12/2007
Last updated 08/08/2013 - More than a year ago
Sole proprietor 1 No
Identifiers
MI License # 5901002252
MI Medicare PIN M74460424
Hospital affiliation(s)
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
  • SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL - (Acute Care)
    8333 FELCH ST
    ZEELAND, MI 49464
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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