Provider Demographics
NPI:1730221417
Name:DULSKI, STANLEY MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:MICHAEL
Last Name:DULSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 UNIVERSITY BLVD W STE 307
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2111
Mailing Address - Country:US
Mailing Address - Phone:301-468-2225
Mailing Address - Fax:
Practice Address - Street 1:3750 UNIVERSITY BLVD W STE 307
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2111
Practice Address - Country:US
Practice Address - Phone:301-468-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS02004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD41030001OtherBCBS FEDERAL
MD07CFSMOtherBCBS PROVIDER NUMBER
MD492104Medicare ID - Type UnspecifiedMEDICARE NUMBER