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Individual

JOHN JOEL STIENSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2500 MERCED STREET, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
2500 MERCED STREET, SAN LEANDRO, CA 94577-4201
(510) 454-1000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3844
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E38440
CA
Enumeration date
11/01/2006
Last updated
05/22/2015
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