Provider Demographics
NPI:1912482365
Name:STIENEN, MARTIN NIKOLAUS (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:NIKOLAUS
Last Name:STIENEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 PASTEUR DRIVE, EDWARDS BLDG., RM. R209
Mailing Address - Street 2:DEPARTMENT OF NEUROSURGERY & NEUROLOGY
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:650-721-3972
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF NEUROSURGERY,STANFORD UNIVERSITY HOSPITAL
Practice Address - Street 2:300 PASTEUR DRIVE, EDWARDS BLDG., RM R209
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-721-3972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAF564207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery