Individual provider · Type 1 NPI

Gerald E. Stack, MD

Specialist · Baton Rouge, LA

NPI number 1861567950 Active

Practice location

8786 Goodwood Blvd, Ste. 106
Baton Rouge, LA 70806-7917

Call (225) 924-0244 Map

Fax (225) 924-0340

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD016009 (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861567950

Gerald E. Stack, MD's National Provider Identifier is 1861567950, issued on Nov 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 8, 2007.