Provider Demographics
NPI:1457416943
Name:STERNER, MICHAEL JOHN (PHARMD)
Entity Type:Individual
Prefix:PROF
First Name:MICHAEL
Middle Name:JOHN
Last Name:STERNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 OLD ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2106
Mailing Address - Country:US
Mailing Address - Phone:716-689-7992
Mailing Address - Fax:
Practice Address - Street 1:455 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1834
Practice Address - Country:US
Practice Address - Phone:716-856-3610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist