Individual provider · Type 1 NPI

Charles L. Stackhouse, MD

Surgery Physician · Clifton Springs, NY

NPI number 1932174497 Active

Practice location

4 Coulter Rd
Clifton Springs, NY 14432-1122

Call (315) 462-2636 Map

Fax (315) 462-2638

Mailing address

4567 Crossroads Park Dr
Liverpool, NY 13088-3589

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X143099 (NY)
Surgery Physician Primary 208600000X1430991 (NY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1932174497

Charles L. Stackhouse, MD's National Provider Identifier is 1932174497, issued on Feb 20, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Clifton Springs, NY. The record was last updated on Jun 13, 2013.