person
Norman Russell Stackhouse, PA
Medical Physician Assistant in Clinton, Maryland
NPI 1053412569

Norman Russell Stackhouse is a Medical Physician Assistant based in Clinton, MD and is specialized in Medical. Norman Russell Stackhouse practices in Clinton, MD and has the professional credentials of PA. The NPI Number for Norman Russell Stackhouse is 1053412569 and holds a License No. C0000861 (Maryland).

The current practice location address for Norman Russell Stackhouse is 9131 Piscataway Rd, Clinton, MD and can be reached out via phone at 301-868-0110 and via fax at 301-856-0604. You can also correspond with Norman Russell Stackhouse through the mailing address at 9131 PISCATAWAY RD, CLINTON, MD - 20735-2508 (mailing address contact number: 301-868-0110).

Location: 9131 Piscataway Rd, Clinton, MD, 20735-2508
person
Provider Profile Details
NPI Number
1053412569
Provider Name
Norman Russell Stackhouse
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9131 Piscataway Rd, Clinton, MD, 20735-2508
Phone Number
301-868-0110
Fax Number
301-856-0604
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9131 Piscataway Rd
City
State
Zip
20735-2508
Phone Number
301-868-0110
Fax Number
301-856-0604
person
Provider Business Mailing Address Details
Address
9131 Piscataway Rd
City
State
Zip
20735-2508
Phone Number
301-868-0110
Fax Number
301-856-0604
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0000861 (Maryland)
Definition
Definition to come...
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