Individual
DR. MICHAEL TODD STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3550 NW CARY PARKWAY, SUITE 104, CARY, NC 27513-7410
(919) 460-1515
(919) 460-1979
Mailing address
3550 NW CARY PARKWAY, SUITE 104, CARY, NC 27513-7410
(919) 460-1515
(919) 460-1979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01211
BCBS
NC
05
—
8908815
—
NC
Enumeration date
09/12/2006
Last updated
09/30/2010
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