Organization
JAN ERIC HENSTORF, M.D.APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN ERIC HENSTORF M.D. (PRESIDENT)
(510) 797-7463
Entity
Organization
Contact information
Practice address
38733 STIVERS ST, FREMONT, CA 94536-5337
(510) 797-7463
(510) 797-7426
Mailing address
38733 STIVERS ST, FREMONT, CA 94536-5337
(510) 797-7463
(510) 797-7426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A44884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A448840
—
CA
Enumeration date
04/17/2006
Last updated
08/22/2020
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