Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stefan Mianowski, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639564156

Dr. Stefan Mianowski, MD is a Student in an Organized Health Care Education/Training Program in Pembroke, Massachusetts. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

199 Oak St
Pembroke, MA 02359-1953
Phone: (781) 829-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101265906 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639564156
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address1412 Paul Eason Dr, Chesapeake, VA 23322-2794

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