MEDICARE: WALTER STALENSKI

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	207L00000X	Anesthesiology Physician	MD421550	PA

General Provider Information

NPI Number	:	1386606812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER STALENSKI

Provider Business Mailing Address
First Line	:	PO BOX 817737
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33081-1737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4727 FRIENDSHIP AVE
Second Line	:	#240
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1779
Country	:	US
Telephone Number	:	412-235-5870
Fax Number	:

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	05/24/2021

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