MEDICARE: NANCY STADLER 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	207Q00000X	Family Medicine Physician	35071424	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000141269	OTHER	OH	ANTHEM
2	01-04458	OTHER	OH	UCH
3	203089	OTHER	OH	BLACK LUNG
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	03006	OTHER	OH	PHC
6	080130401	OTHER	OH	RRMC
7	2006045	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1598758575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY STADLER MD

Provider Business Mailing Address
First Line	:	3909 WOODLEY RD
Second Line	:	SUITE 500
City	:	TOLEDO
State	:	OH
Zip	:	43606-1169
Country	:	US
Telephone Number	:	419-291-2670
Fax Number	:	419-479-6999

Provider Business Practice Location Address
First Line	:	3909 WOODLEY RD
Second Line	:	SUITE 500
City	:	TOLEDO
State	:	OH
Zip	:	43606-1169
Country	:	US
Telephone Number	:	419-291-2670
Fax Number	:	419-479-6999

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	11/03/2023

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Directions to “ NANCY STADLER MD” Practice Location

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