Susan M Stack, M.D.

NPI #1588696314 in Madison, Indiana

Provider Information

NPI Number: 1588696314
Entity Type: Individual
Name: Susan M Stack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 6, 2006
Last Updated: Feb 20, 2019

Practice Location

Address: 1373 E SR 62
City: Madison
State: Indiana
ZIP Code: 47250
Phone: (812) 801-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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