CHARLES L STACKHOUSE

CLIFTON SPRINGS, NY
NPI1932174497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: NY  1430991)
Additional Taxonomies208600000X Surgery
(Licence: NY  143099)
Enumeration Date2006-02-20
Last Update Date2013-06-13
Business Address
Dr. CHARLES L STACKHOUSE MD
4 COULTER RD
CLIFTON SPRINGS, NY 14432-1122
Phone number: 315-462-2636
Mailing Address
Dr. CHARLES L STACKHOUSE MD
4567 CROSSROADS PARK DR
LIVERPOOL, NY 13088-3589
Phone number: 315-295-2100
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