Individual
EVAN DEAN STASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
011506
OH
207L00000X
Anesthesiology Physician
Primary
20A17155
CA
207R00000X
Internal Medicine Physician
011506
OH
207R00000X
Internal Medicine Physician
20A17155
CA
Other
Enumeration date
05/04/2012
Last updated
04/12/2024
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