Derek Stodolak is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Derek Stodolak NPI is 1689235459. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT
2799 W. GRAND BOULEVARD
DETROIT, MI
ZIP 48202
Phone: (734) 260-3574
The NPI 1689235459 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/24/2019 and was last updated on 6/24/2019.