Provider Demographics
NPI:1235135674
Name:STINER, DANA B (MD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:B
Last Name:STINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5096
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-5096
Mailing Address - Country:US
Mailing Address - Phone:360-738-2200
Mailing Address - Fax:360-752-5669
Practice Address - Street 1:4545 CORDATA PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-7123
Practice Address - Country:US
Practice Address - Phone:360-738-2200
Practice Address - Fax:360-752-5669
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00013553207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00811556OtherRAILROAD MEDICARE
WA4394873OtherAETNA
WA1235135674Medicaid
WA8169302Medicaid
WA0229985OtherL&I AND CRIME VICTIMS
WA5172STOtherREGENCE
WAG8873018Medicare PIN
WAP00811556OtherRAILROAD MEDICARE