GERALD E STACK

BATON ROUGE, LA
NPI1861567950
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: LA  MD016009)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
GERALD E STACK MD
8786 GOODWOOD BLVD STE. 106
BATON ROUGE, LA 70806-7917
Phone number: 225-924-0244
Mailing Address
GERALD E STACK MD
8786 GOODWOOD BLVD STE. 106
BATON ROUGE, LA 70806-7917
Phone number: 225-924-0244
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