Provider Demographics
NPI:1851476816
Name:STELMACH, DEE (DPM)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:
Last Name:STELMACH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MONUMENT ROAD
Mailing Address - Street 2:SUITE 130 APPLE HILL PODIATRY
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-741-4055
Mailing Address - Fax:717-741-5762
Practice Address - Street 1:11 FAIRLANE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-9567
Practice Address - Country:US
Practice Address - Phone:107-792-6636
Practice Address - Fax:107-793-3676
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA50001615L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01672702OtherCAPITOL BLUECROSS
01672702OtherCAPITOL BLUECROSS
T29815Medicare UPIN