Individual
DR. MICHAEL ANTHONY STALOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2096
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(216) 262-7410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
89305
GA
2085R0202X
Diagnostic Radiology Physician
A95996
CA
Other
Enumeration date
07/12/2006
Last updated
01/24/2022
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