Provider Demographics
NPI:1235433558
Name:OUHADI, STEPHANIE MICHELE (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MICHELE
Last Name:OUHADI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MICHELE
Other - Last Name:MERROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4560 OBERLIN AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3195
Mailing Address - Country:US
Mailing Address - Phone:440-282-7387
Mailing Address - Fax:440-282-7388
Practice Address - Street 1:4560 OBERLIN AVE STE 1
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3195
Practice Address - Country:US
Practice Address - Phone:440-282-7387
Practice Address - Fax:440-282-7388
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003598213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery