Provider Demographics
NPI:1912075516
Name:STEHLIK, HAROLD WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:WILLIAM
Last Name:STEHLIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3815 PELHAM ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3852
Mailing Address - Country:US
Mailing Address - Phone:313-565-9333
Mailing Address - Fax:313-565-9334
Practice Address - Street 1:3815 PELHAM ST
Practice Address - Street 2:SUITE 10
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3852
Practice Address - Country:US
Practice Address - Phone:313-565-9333
Practice Address - Fax:313-565-9334
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI32240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B47306Medicare UPIN
0820132Medicare ID - Type Unspecified