Provider Demographics
NPI:1821193392
Name:STELZNER, MATTHIAS GEORG (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHIAS
Middle Name:GEORG
Last Name:STELZNER
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:SURGICAL SERVICE (10H2-MS)
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-268-4341
Mailing Address - Fax:310-268-4967
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:SURGICAL SERVICE (10H2-MS)
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-4341
Practice Address - Fax:310-268-4967
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81291208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG11029Medicare UPIN