Provider Demographics
NPI:1265640916
Name:YANOSHAK, STEPHEN J (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:YANOSHAK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:202 MEMORIAL DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-7057
Mailing Address - Country:US
Mailing Address - Phone:814-623-0552
Mailing Address - Fax:814-623-0752
Practice Address - Street 1:202 MEMORIAL DR
Practice Address - Street 2:SUITE 2
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-7057
Practice Address - Country:US
Practice Address - Phone:814-623-0552
Practice Address - Fax:814-623-0752
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2024-04-12
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Provider Licenses
StateLicense IDTaxonomies
PAOS007645L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology