Provider Demographics
NPI:1639458920
Name:DUNSKER, STEWART B (MD)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:B
Last Name:DUNSKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 ABILENE TRL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2550
Mailing Address - Country:US
Mailing Address - Phone:513-522-0330
Mailing Address - Fax:513-522-0333
Practice Address - Street 1:551 ABILENE TRL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2550
Practice Address - Country:US
Practice Address - Phone:513-522-0330
Practice Address - Fax:513-522-0333
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-024396207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0140449Medicaid
DU0122851Medicare PIN
OH0140449Medicaid