Provider Demographics
NPI:1982294187
Name:KAREN A STANEK MD
Entity Type:Organization
Organization Name:KAREN A STANEK MD
Other - Org Name:NEW CELL NORTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-624-0908
Mailing Address - Street 1:13007 E MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1028
Mailing Address - Country:US
Mailing Address - Phone:509-893-3562
Mailing Address - Fax:
Practice Address - Street 1:13007 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1028
Practice Address - Country:US
Practice Address - Phone:509-893-3562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty