Individual provider · Type 1 NPI

Axel Emanuel Stenmark Tullberg, MD, PhD

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1396436671 Active

Practice location

300 Pasteur Drive, Lane 154
Stanford, CA 94305-5133

Fax (650) 498-6205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396436671

Axel Emanuel Stenmark Tullberg, MD, PhD's National Provider Identifier is 1396436671, issued on May 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Nov 17, 2023.