Provider Demographics
NPI:1609904192
Name:SATEREN, STAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:STAN
Middle Name:G
Last Name:SATEREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-9275
Mailing Address - Country:US
Mailing Address - Phone:614-580-0863
Mailing Address - Fax:614-841-9680
Practice Address - Street 1:5900 ROCHE DR
Practice Address - Street 2:SUITE 440
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3272
Practice Address - Country:US
Practice Address - Phone:614-841-9690
Practice Address - Fax:614-841-9680
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-6575-S207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine