Provider Demographics
NPI:1427315753
Name:STOINSKI, DOUGLAS ALEXANDER (DPM)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:ALEXANDER
Last Name:STOINSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 E GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-8582
Mailing Address - Country:US
Mailing Address - Phone:517-885-3300
Mailing Address - Fax:517-885-3303
Practice Address - Street 1:4330 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-8582
Practice Address - Country:US
Practice Address - Phone:517-885-3300
Practice Address - Fax:517-885-3303
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI5901002458213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program