Individual
DR. WILLIAM VINCENT STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DELTA PARK DR, SHELBY, NC 28150-3575
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39336
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
39336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8980392
—
NC
Enumeration date
11/22/2005
Last updated
05/12/2010
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