Individual
DR. KALLE MARC STIDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
550 S WINCHESTER BLVD, SUITE 100, SAN JOSE, CA 95128-2544
(650) 851-4900
(408) 556-8415
Mailing address
500 ARGUELLO ST, SUITE 100, REDWOOD CITY, CA 94063-1566
(650) 851-4900
(650) 995-1202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A10063
CA
Other
Enumeration date
06/17/2007
Last updated
04/22/2016
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