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1164627501
KALLE MARC STIDHAM
SAN JOSE, CA
NPI
1164627501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA 20A10063)
Enumeration Date
2007-06-17
Last Update Date
2016-04-22
Business Address
Dr. KALLE MARC STIDHAM D.O.
550 S WINCHESTER BLVD SUITE 100
SAN JOSE, CA 95128-2544
Phone number: 650-851-4900
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Mailing Address
Dr. KALLE MARC STIDHAM D.O.
500 ARGUELLO ST SUITE 100
REDWOOD CITY, CA 94063-1566
Phone number: 650-851-4900
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