Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 201501837 | NC |
NPI | 1285830604 |
---|---|
Provider Name | Dr. Michael T Stang |
First Address | Raleigh, NC 27614-7672 |
Second Address | Durham, NC 27710-3215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 30/06/2020 |