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Patrick W Stack, MD
Pediatrics Physician in Madison, Indiana
NPI 1710918891

Patrick W Stack is a Pediatrics Physician based in Evansville, IN. Patrick W Stack practices in Madison, IN and has the professional credentials of MD. The NPI Number for Patrick W Stack is 1710918891 and holds a License No. 01033161 (Indiana).

The current practice location address for Patrick W 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710918891
Provider Name
Patrick W Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
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
412626P 01 IN SIHO
4370916 01 AETNA
000000042211 01 IN ANTHEM BCBS
1082594 01 KY PASSPORT KY MEDICAID
100148850A 05 IN
64759798 05 KY
2435578000 01 KY PASSPORT ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
1373 E Sr 62
City
Madison
State
Indiana
Zip
47250
Phone Number
812-801-0300
Fax Number
812-801-0585
person
Provider Business Mailing Address Details
Address
1373 E Sr 62
City
Madison
State
Indiana
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
208000000X
License No.
01033161 (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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