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1336120344
MICHAEL STACEY
FAIRFIELD, CA
NPI
1336120344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01057967A)
Enumeration Date
2005-11-07
Last Update Date
2008-02-20
Business Address
Dr. MICHAEL STACEY M.D.
275 BECK AVE MS 5-240
FAIRFIELD, CA 94533-6804
Phone number: 707-784-8600
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Mailing Address
Dr. MICHAEL STACEY M.D.
102 SAN CARLOS AVE
EL CERRITO, CA 94530-4149
Phone number: 707-784-8600
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