Provider Demographics
NPI:1821397613
Name:SETLAK, MARIA NATASHA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:NATASHA
Last Name:SETLAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVENUE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:109 PLAZA DR STE B
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-7714
Practice Address - Country:US
Practice Address - Phone:740-695-5200
Practice Address - Fax:740-695-8037
Is Sole Proprietor?:No
Enumeration Date:2011-03-20
Last Update Date:2020-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV2466207R00000X
OH34.010712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0074110Medicaid
WV3810024392Medicaid
WV3810024392Medicaid