| NPI | 1548587785 |
|---|---|
| Other Name | STACEY MICHELLE BLANCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD447429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD447429) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD447429) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2019-10-14 |