NORMAN RUSSELL STACKHOUSE

CLINTON, MD
NPI1053412569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0000861)
Enumeration Date2006-09-26
Last Update Date2007-07-09
Business Address
-- NORMAN RUSSELL STACKHOUSE P.A.
9131 PISCATAWAY RD SUITE 600
CLINTON, MD 20735-2508
Phone number: 301-868-0110
Mailing Address
-- NORMAN RUSSELL STACKHOUSE P.A.
9131 PISCATAWAY RD SUITE 600
CLINTON, MD 20735-2508
Phone number: 301-868-0110
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