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Individual

MICHAEL A STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1300 BANCROFT AVE, SUITE 103, SAN LEANDRO, CA 94577-5147
(510) 483-3390
(510) 394-6402
Mailing address
1300 BANCROFT AVE, 103, SAN LEANDRO, CA 94577-5147
(510) 483-3390
(510) 394-6402

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E29050
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E29051
CA
Enumeration date
07/19/2006
Last updated
10/09/2014
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