Individual
MR. MICHAEL SHAWN STOCKMAN
Active
Individual
MR. MICHAEL SHAWN STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R073180
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00748732
—
MD
Enumeration date
06/16/2005
Last updated
10/20/2009
Update your record
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