SUSAN STACK, M.D.
Pediatrics
Active
Individual
NPI: 1588696314
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 01033162 (IN) |
Frequently Asked Questions
NPI 1588696314 is the National Provider Identifier for SUSAN STACK, M.D., a Pediatrics provider located in Madison, IN. This NPI was enumerated on July 6, 2006.
SUSAN STACK, M.D. practices at 1373 E SR 62, Madison, IN 47250.
Quick Facts
- NPI
- 1588696314
- Type
- Individual
- Enumerated
- Jul 6, 2006
- Last Updated
- Feb 20, 2019
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