Provider Demographics
NPI:1982962262
Name:STALZER, ALISON (DO)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:STALZER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4185 BUCKEYE AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-6029
Mailing Address - Country:US
Mailing Address - Phone:440-554-5937
Mailing Address - Fax:
Practice Address - Street 1:9500 MENTOR AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-8713
Practice Address - Country:US
Practice Address - Phone:440-357-7100
Practice Address - Fax:440-357-8136
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-011986207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology