Individual
MR. CHARLES BLANCHARD STOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 SW 13TH ST, GAINESVILLE, FL 32608-3901
(352) 377-8619
(352) 371-9674
Mailing address
4525 SW 13TH ST, GAINESVILLE, FL 32608-3901
(352) 377-8619
(352) 371-9674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0044326
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME0044326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040704600
—
FL
Enumeration date
03/01/2007
Last updated
01/18/2022
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