MEDICARE: MELANIE STEMPOWSKI MD

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	208000000X	Pediatrics Physician		OH

General Provider Information

NPI Number	:	1689619876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE STEMPOWSKI MD

Provider Business Mailing Address
First Line	:	5837 BRIARWOOD LN
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-2306
Country	:	US
Telephone Number	:	440-542-0748
Fax Number	:

Provider Business Practice Location Address
First Line	:	29000 CENTER RIDGE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44145-5293
Country	:	US
Telephone Number	:	440-542-5023
Fax Number	:

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	07/08/2007

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