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Individual

STANLEY THOMAS CARMICHAEL

Active
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Individual

STANLEY THOMAS CARMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G84514
CA
2084V0102X
Vascular Neurology Physician
G84514
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G845140
CA
05
1093730921
CA
Enumeration date
07/13/2006
Last updated
01/15/2020
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