Individual
THOMAS STASKO
Active
Individual
THOMAS STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD23489
TN
207ND0101X
MOHS-Micrographic Surgery Physician
MD23489
TN
207NS0135X
Procedural Dermatology Physician
MD23489
TN
Other
Enumeration date
09/22/2006
Last updated
08/17/2012
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