Individual
JEREMY LEE STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
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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