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NPI Code Detail

MEDICARE: JOSEPH MICHAEL STEFKO IV

MEDICARE: JOSEPH MICHAEL STEFKO IV
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417751181
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MICHAEL STEFKO IV
Provider Business Mailing Address
First Line : 3595 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3440
Country : US
Telephone Number : 614-566-5456
Fax Number : 614-566-6902
Provider Business Practice Location Address
First Line : 3595 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3440
Country : US
Telephone Number : 614-566-5456
Fax Number : 614-566-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2025
Last Update Date : 04/02/2025

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Directions to “ JOSEPH MICHAEL STEFKO IV ” Practice Location

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