Individual
ETHAN D STOLZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 STANTON L YOUNG BLVD, SUITE 451, OKLAHOMA CITY, OK 73104-5020
(405) 271-2422
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
25244
OK
207ZP0101X
Anatomic Pathology Physician
25244
OK
Other
Enumeration date
08/13/2006
Last updated
09/11/2025
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