Michael Thornton Longaker MD MBA

NPI 1427183672 - Plastic Surgery - 208200000X

NPI Details
NPI 1427183672
Gender Male
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
257 CAMPUS DR
STANFORD CA, 94305-5101, US
Phone (650) 736-1707
Fax (650) 736-1705
Business Location
55 SHEARER DR
ATHERTON CA, 94027-3935, US
Phone (650) 365-4838
Fax
Toxanomy
Taxonomy Code 208200000X
License State California
License Number G57362
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According to our database, Dr. Michael Thornton Longaker MD MBA NPI is 1427183672, taxonomy code is 208200000X and license number is G57362, license state is located at California. Michael Thornton Longaker MD MBA physically located at 257 Campus Dr, Stanford CA, 94305-5101. NPI Number Michael Thornton Longaker MD MBA has the Individual type.

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1427183672 NPI number is provided on an as is basis without warranty of any kind. 1427183672 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Thornton Longaker MD MBA are for informational purposes only.