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Individual

DR. STANLEY J BIRGE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
29153
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200943314
MO
05
ENROLLED
IL
Enumeration date
07/18/2006
Last updated
07/19/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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