Provider Demographics
NPI:1427025964
Name:KINDIG STAHL, MARILYN JOY (DO)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:JOY
Last Name:KINDIG STAHL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARILYN
Other - Middle Name:J
Other - Last Name:KINDIG STAHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:301 W WALLACE ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1241
Mailing Address - Country:US
Mailing Address - Phone:419-424-0180
Mailing Address - Fax:
Practice Address - Street 1:301 W WALLACE ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1241
Practice Address - Country:US
Practice Address - Phone:419-424-0180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006432K207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1407025964OtherNPI
OH2063118Medicaid
OH2063118Medicaid