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Individual

JOHN MARKWITH STANEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3875 TELEGRAPH AVE, OAKLAND, CA 94609-2428
(510) 547-2244
Mailing address
425 37TH ST, OAKLAND, CA 94609-2812
(650) 224-8804

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
37264
IA
207L00000X
Anesthesiology Physician
Primary
A73640
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A736400
CA
Enumeration date
06/28/2006
Last updated
01/28/2013
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