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1033100482
JOHN H STASIEWICZ
IRVINE, CA
NPI
1033100482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G21256)
Enumeration Date
2005-11-03
Last Update Date
2015-10-13
Business Address
Dr. JOHN H STASIEWICZ MD
4050 BARRANCA PKWY SUITE 200
IRVINE, CA 92604-7706
Phone number: 949-551-1090
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Mailing Address
Dr. JOHN H STASIEWICZ MD
17360 BROOKHURST ST ATTN: MCMF CREDENTIALING DEPT.
FOUNTAIN VALLEY, CA 92708-3720
Phone number:
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