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Individual
DR. ERIC ROBERT STOCKALL
Active
Individual
DR. ERIC ROBERT STOCKALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301050188
MI
208800000X
Urology Physician
Primary
4301050188
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330578
BLUE CROSS BLUE SHIELD
MI
01
—
124132
PREFERRED CHOICES
MI
05
—
4172326
—
MI
01
—
C6406
MCARE
MI
Enumeration date
04/27/2006
Last updated
09/20/2018
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