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Individual

CLEMENS MARIA ORTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A174758
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0266347
L&I
WA
05
1174837785
WA
Enumeration date
08/06/2010
Last updated
04/11/2024
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