Individual
MICHAEL DEAN STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 GROVE RD, GREENVILLE, SC 29605-4656
(864) 455-8897
(864) 455-8555
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11555
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115556
—
SC
01
—
1348585
CIGNA ID
SC
01
—
160013850
RR MEDICARE
SC
01
—
4259963
AETNA ID
SC
01
—
571004971004
BCBS OF SC ID
SC
Enumeration date
06/15/2006
Last updated
04/10/2019
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