Individual
JOHN STEVEN WACHTEL
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
207V00000X
Obstetrics & Gynecology Physician
Primary
G35219
CA
207VG0400X
Gynecology Physician
G35219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
—
Enumeration date
04/12/2006
Last updated
04/26/2024
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