Provider Demographics
NPI:1184857211
Name:SPIEKERKOETTER, EDDA FRAUKE (MD)
Entity Type:Individual
Prefix:DR
First Name:EDDA
Middle Name:FRAUKE
Last Name:SPIEKERKOETTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:335 WAVERLEY ST
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3513
Mailing Address - Country:US
Mailing Address - Phone:650-853-0471
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DRIVE, RM H3143A
Practice Address - Street 2:STANFORD UNIVERSITY DEPARTMENT OF MEDICINE, PCCM
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5236
Practice Address - Country:US
Practice Address - Phone:650-723-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109112207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine