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Individual
BRENDAN CURRAN STACK JR.
Active
Individual
BRENDAN CURRAN STACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
E4564
AR
207YS0123X
Facial Plastic Surgery Physician
E4564
AR
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
036-151806
IL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
E-4564
AR
Other
Enumeration date
08/01/2006
Last updated
02/19/2020
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