Stephanus Eric Haryadi, M.D.

NPI #1174902498 in Orwell, Ohio

Provider Information

NPI Number: 1174902498
Entity Type: Individual
Name: Stephanus Eric Haryadi, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 19, 2015
Last Updated: Feb 3, 2021

Practice Location

Address: 315 E MAIN ST
City: Orwell
State: Ohio
ZIP Code: 44076-9590
Phone: (440) 437-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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