Provider Demographics
NPI:1639120579
Name:MILLMAN, STEPHEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:MILLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 199
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-0199
Mailing Address - Country:US
Mailing Address - Phone:925-224-7281
Mailing Address - Fax:925-833-1911
Practice Address - Street 1:5820 STONERIDGE MALL RD
Practice Address - Street 2:SUITE 230
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3274
Practice Address - Country:US
Practice Address - Phone:925-224-7281
Practice Address - Fax:925-833-1911
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2012-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC331552084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry