MICHAEL THADDEUS STANEK

FORT WAYNE, IN
NPI1811379092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01080472A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.066376)
Enumeration Date2015-06-23
Last Update Date2018-07-05
Business Address
Dr. MICHAEL THADDEUS STANEK M.D.
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-203-9600
Mailing Address
Dr. MICHAEL THADDEUS STANEK M.D.
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5375