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Dr. Frederick Richard Stack, MD
Internal Medicine Physician in Sioux City, Iowa
NPI 1548256977

Frederick Richard Stack is a Internal Medicine Physician based in Chandler, IA. Frederick Richard Stack practices in Sioux City, IA and has the professional credentials of MD. The NPI Number for Frederick Richard Stack is 1548256977 and holds a License No. 24459 (Iowa).

The current practice location address for Frederick Richard Stack is 801 5Th St, Sioux City, IA and can be reached out via phone at 712-279-2010 and via fax at 712-279-2034.

Location: 801 5Th St, Sioux City, IA, 85226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548256977
Provider Name
Frederick Richard Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 5Th St, Sioux City, IA, 85226
Phone Number
712-279-2010
Fax Number
712-279-2034
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
436693002 05 AZ
AZ0866740 01 AZ BLUE CROSS BLUEE SHIELD
110208816 01 AZ MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
801 5Th St
City
Sioux City
State
Iowa
Zip
51101-1326
Phone Number
712-279-2010
Fax Number
712-279-2034
person
Provider Business Mailing Address Details
Address
801 5Th St
City
Sioux City
State
Iowa
Zip
51101-1326
Phone Number
712-279-2010
Fax Number
712-279-2034
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0002050 (Montana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
24459 (Arizona)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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