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Individual

MARK BLUMENKRANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G32202
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G322020
CA
Enumeration date
12/05/2006
Last updated
01/08/2010
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