Individual
ALEXANDER UNGEWICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
875 BLAKE WILBUR DR, STANFORD CANCER CENTER, PALO ALTO, CA 94304-2205
(650) 498-6000
Mailing address
515A POPE ST, MENLO PARK, CA 94025-2859
(650) 644-5325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A105444
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2007
Last updated
03/28/2013
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