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Individual
JEREMY LEE STANEK
Active
Individual
JEREMY LEE STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2014014145
MO
208100000X
Physical Medicine & Rehabilitation Physician
A158198
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A158198
CA
Other
Enumeration date
03/27/2013
Last updated
04/27/2024
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