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1235235003
STACEY J.P. MEMBERG
MEDINA, OH
NPI
1235235003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OH 35077164)
Enumeration Date
2006-09-16
Last Update Date
2011-07-26
Business Address
-- STACEY J.P. MEMBERG MD
4015 MEDINA RD STE 50
MEDINA, OH 44256-5970
Phone number: 330-723-7005
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Mailing Address
-- STACEY J.P. MEMBERG MD
PO BOX 8792
BELFAST, ME 04915-8792
Phone number: 300-723-7005
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