Organization
ERIC STOCKALL, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ROBERT STOCKALL M.D. (OWNER/MEMBER)
(517) 349-3900
Entity
Organization
Contact information
Practice address
2090 JOLLY RD, SUITE 150, OKEMOS, MI 48864-3996
(517) 349-3900
Mailing address
PO BOX 1070, OKEMOS, MI 48805-1070
(517) 349-3900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301050188
MI
Other
Enumeration date
09/20/2006
Last updated
10/30/2007
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