Individual
DR. MICHAEL B STIERSTORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N SUMNEYTOWN PIKE, STE 1E, NORTH WALES, PA 19454-2532
(215) 699-1929
(215) 661-0302
Mailing address
311 N SUMNEYTOWN PIKE, STE 1E, NORTH WALES, PA 19454-2532
(215) 661-0300
(215) 661-0302
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD042406E
PA
207NS0135X
Procedural Dermatology Physician
MD042406E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116203000010
—
PA
01
—
154144
BLUE SHIELD
PA
01
—
2230872
AETNA
PA
Enumeration date
06/23/2005
Last updated
11/22/2022
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