Michael B Stotler


Address: 5500 Heege Rd, Affton, MO 63123-3505

Michael B Stotler (NPI# 1578613014, PAC ID# 0244383396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1578613014
PAC ID by PECOS 0244383396
Professional Enrollment ID I20090806000560
Full Name Michael B Stotler
Address 5500 Heege Rd
Affton
MO 63123-3505
Gender M
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1996
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5500 Heege Rd, Affton, MO 63123-3505

Organization Information

Office Location

Street Address 5500 HEEGE RD
City AFFTON
State MO
Zip 63123-3505

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Competitor

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City AFFTON
Zip Code 63123
Specialty PSYCHIATRY
City + Specialty AFFTON + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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