BRENDAN STACK, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · SPRINGFIELD, IL

Individual Active NPI 1437165164

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Plastic Surgery within the Head & Neck (Otolaryngology) Physician207YX0007X036-151806IL
Otolaryngology Physician207Y00000XE4564AR
Facial Plastic Surgery Physician207YS0123XE4564AR
Plastic Surgery within the Head & Neck (Otolaryngology) Physician207YX0007XE-4564AR

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.