# DR. ERIC ROBERT STOCKALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972560415
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 4301050188 | MI | — |
| 208800000X | Urology Physician | 4301050188 | MI | Yes |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 09/20/2018

## 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 |