Most Relevant Information
Provider Data
| NPI Number: | 1003813882 |
| Provider Name: | STUART PAINE MICHELSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 7741 |
Most Important Dates
| Enumeration Date: | 07/07/2005 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
155 HWY 50
STATELINE
NV
89449
Practice Location Phone/Fax
| Phone: | 7755898900 |
| Fax: | 7755887110 |
Provider Mailing Location
1111 EMERALD BAY RD
SOUTH LAKE TAHOE
CA
961506207
Provider Mailing Phone/Fax
| Phone: | 5305435659 |
| Fax: | 5305418723 |