Organization
PACIFIC HEART & VASCULAR MEDICAL GROUP
Active
Organization
PACIFIC HEART & VASCULAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE MICHAEL STENZLER MD (OWNER/PARTNER)
(209) 464-3615
Entity
Organization
Contact information
Practice address
15810 S HARLAN RD, STE. A, LATHROP, CA 95330-8719
(209) 464-3615
(209) 464-1311
Mailing address
1801 E MARCH LN, STE. D400, STOCKTON, CA 95210-6629
(877) 835-7938
(209) 464-1537
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
09-2629
CA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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