person
Susan M Stack, MD
Pediatrics Physician in Madison, Indiana
NPI 1588696314

Susan M Stack is a Pediatrics Physician based in Evansville, IN. Susan M Stack practices in Madison, IN and has the professional credentials of MD. The NPI Number for Susan M Stack is 1588696314 and holds a License No. 01033162 (Indiana).

The current practice location address for Susan M Stack is 1373 E Sr 62, Madison, IN and can be reached out via phone at 812-801-0300 and via fax at 812-801-0585.

Location: 1373 E Sr 62, Madison, IN, 47732-3395
person
Provider Profile Details
NPI Number
1588696314
Provider Name
Susan M Stack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1373 E Sr 62, Madison, IN, 47732-3395
Phone Number
812-801-0300
Fax Number
812-801-0585
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410015P 01 IN SIHO
000000042214 01 IN ANTHEM BCBS
100148860A 05 IN
1082593 01 KY PASSPORT KY MEDICAID
4370872 01 AETNA
64759780 05 KY
institution
Provider Business Practice Location Address Details
Address
1373 E Sr 62
City
State
Zip
47250
Phone Number
812-801-0300
Fax Number
812-801-0585
person
Provider Business Mailing Address Details
Address
1373 E Sr 62
City
State
Zip
47250
Phone Number
812-801-0300
Fax Number
812-801-0585
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
01033162 (Indiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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