| NPI | 1538872247 |
|---|---|
| Other Name | MICHAEL B STUCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009402) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-09-28 |