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Individual

DR. MICHAEL J STOTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
139 SUMMERPLACE DRIVE, WEST COLUMBIA, SC 29169
(803) 796-9968
(803) 791-0376
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
208800000X
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0065
SC
Enumeration date
07/10/2006
Last updated
03/31/2015
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