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Dr. Michael O Stick, MD
General Practice Physician in Madison, Florida
NPI 1912128232

Michael O Stick is a General Practice Physician based in Madison, FL. Michael O Stick practices in Madison, FL and has the professional credentials of MD. The NPI Number for Michael O Stick is 1912128232 and holds a License No. ME38518 (Florida).

The current practice location address for Michael O Stick is 256 Sw Washington Ave, Madison, FL and can be reached out via phone at 850-973-4590.

Location: 256 Sw Washington Ave, Madison, FL, 32340-8416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912128232
Provider Name
Michael O Stick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
256 Sw Washington Ave, Madison, FL, 32340-8416
Phone Number
850-973-4590
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18556 01 FL BCBS OF FLORIDA
institution
Provider Business Practice Location Address Details
Address
256 Sw Washington Ave
City
Madison
State
Florida
Zip
32340-1982
Phone Number
850-973-4590
Fax Number
person
Provider Business Mailing Address Details
Address
256 Sw Washington Ave
City
Madison
State
Florida
Zip
32340-1982
Phone Number
850-973-4590
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME38518 (Florida)
Definition
Definition to come...
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