Michael L Staker, MD is a
Preventive Medicine - Occupational Medicine physician based in Tooele, Utah. Michael L Staker is licensed to practice in Utah (license number 5248029-1205) and his current practice location is 28 Officer Cir, Tooele, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 833-2572.
NPI number for Michael L Staker is 1043271893 and his current mailing address is 4500 S 4000 W, West Valley City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043271893.
Physician's Profile
| Full Name | Michael L Staker |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 28 Officer Cir, Tooele, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043271893
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael L Staker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043271893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 5248029-1205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael L Staker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael L Staker, MD
4500 S 4000 W,
West Valley City, UT 84120-6235
Ph: (435) 833-2572 | Michael L Staker, MD
28 Officer Cir,
Tooele, UT 84074-6061
Ph: (435) 833-2572 |
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