Individual
ALEXANDER STUKALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036110012
IL
207L00000X
Anesthesiology Physician
Primary
45773
WI
Other
Enumeration date
06/23/2006
Last updated
01/09/2026
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