Gerald E Stack, MD - Baton Rouge, LA

Gerald E Stack, MD

Specialist in Baton Rouge, Louisiana

NPI 1861567950

Gerald E Stack is a Specialist based in Baton Rouge, LA. Gerald E Stack practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Gerald E Stack is 1861567950 and holds a License No. MD016009 (Louisiana).

The current practice location address for Gerald E Stack is 8786 Goodwood Blvd, Baton Rouge, LA and can be reached out via phone at 225-924-0244 and via fax at 225-924-0340.

Location: 8786 Goodwood Blvd, Baton Rouge, LA, 70806-7917

NPI Number

1861567950

Provider Name

Gerald E Stack

Credential

Provider Entity Type

Individual

Gender

Male

Address

8786 Goodwood Blvd, Baton Rouge, LA, 70806-7917

Phone Number

225-924-0244

Fax Number

225-924-0340

Provider Enumeration Date

11/22/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
1338591	05	LA

Address

8786 Goodwood Blvd

City

Baton Rouge

State

Louisiana

Zip

70806-7917

Phone Number

225-924-0244

Fax Number

225-924-0340

Address

8786 Goodwood Blvd

City

Baton Rouge

State

Louisiana

Zip

70806-7917

Phone Number

225-924-0244

Fax Number

225-924-0340

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

MD016009 (Louisiana)

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.

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