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Contact Information

FRED S STUCKY III, MD
35 MEDICAL CENTER PKWY
AUGUSTA, ME04330-8160
 Phone: 207-621-4680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for FRED S STUCKY III · (Male)

NPI Number 1992751754
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 06/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 00017567
  • ME License # MD27794
  • AL Medicaid 051514735
  • AL Medicaid 126147
  • AL Other 511-11831 BCBS-AL
  • AL Other 51514735STU BLUE CROSS BLUE SHIELD
  • AL Other P00000016 MEDICARE RAILROAD
Hospital affiliation(s)
  • HUNTSVILLE HOSPITAL - (Acute Care)
    101 SIVLEY RD
    HUNTSVILLE, AL 35801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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