Individual
DR. MICHAEL STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6670 GREEN DR, TRUSSVILLE, AL 35173-2610
(205) 537-3337
Mailing address
6670 GREEN DR, TRUSSVILLE, AL 35173-2610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25447
AL
207P00000X
Emergency Medicine Physician
ME83375
FL
207Q00000X
Family Medicine Physician
25447
AL
207Q00000X
Family Medicine Physician
Primary
ME83375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14163
BCBS
FL
05
—
267824100
—
FL
Enumeration date
04/10/2006
Last updated
01/25/2026
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