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Deactivated NPI 1053406702 Deactivated / Inactive NPI Male Practitioner

Dr. Willard S. Stawski , MD

Surgery • Grand Rapids, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Willard Stawski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date November 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Willard Stawski, MD was a registered Surgery practicing in Grand Rapids, MI. Throughout an active medical career spanning 17 years, Dr. Stawski provided care at the practice location at 1900 WEALTHY ST SE until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

1900 Wealthy St Se
Suite 180

Grand Rapids, MI 495062969

Telephone 6164581200
Fax 6164590199
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
128 Specialists

Practicing in Grand Rapids, MI (1479 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 027731

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1578658365

Doctor of Medicine (M.D.)

NPI 1700971546

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active November 26, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 26, 2012

Registered at 1900 WEALTHY ST SE, SUITE 180, GRAND RAPIDS, MI 495062969 (Tel: 6164581200)

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Updated Business Mailing Address November 26, 2012

Registered at 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 495032560

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Provider Name / Credentials Updated November 26, 2012

Recorded as WILLARD STAWSKI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2012

Surgery (License #027731 in MI)

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Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053406702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: November 26, 2012
Deactivation Date: November 29, 2023

Mailing Address

100 Michigan St Ne, Mc845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.