Individual
WILLIAM C. STIVELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 ROLLING OAKS DR, 102, THOUSAND OAKS, CA 91361
(805) 497-3744
(805) 497-1663
Mailing address
351 ROLLING OAKS DR, 102, THOUSAND OAKS, CA 91361
(805) 497-3744
(805) 497-1663
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G50490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G50490
—
CA
01
—
WG50490G
DMERC
CA
Enumeration date
06/21/2006
Last updated
07/08/2010
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