MEDICARE: SARAH LYNN STOSKUS D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	34.015552	OH

General Provider Information

NPI Number	:	1063650554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LYNN STOSKUS D.O.

Provider Business Mailing Address
First Line	:	23969 COTTAGE TRL
Second Line	:
City	:	OLMSTED FALLS
State	:	OH
Zip	:	44138-3541
Country	:	US
Telephone Number	:	440-773-8804
Fax Number	:

Provider Business Practice Location Address
First Line	:	29000 CENTER RIDGE RD
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-5219
Country	:	US
Telephone Number	:	440-835-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	01/25/2024

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