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Individual

ADAM DONALD STALLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110-1074
(518) 348-3176
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
250186
NY
208M00000X
Hospitalist Physician
Primary
250186
NY

Other

Enumeration date
06/12/2008
Last updated
05/20/2021
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