| Doctor Name: | JUERGEN KARL WILLMANN |
| NPI Number: | 1386898138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | CA2113#F5511 |
| Business Practice Address: | 300 Pasteur Drive # H1307 Stanford, CA - 943055621 |
| Business Phone Number: | 6507251812 |
| Business Fax Number: | 6507231909 |
| Mailing Address: | 300 Pasteur Drive, # H1307 STANFORD |
| State: | CA |
| Postal Code: | 943055621 |
| Phone Number: | 6507251812 |
| Fax Number: | 6507231909 |
| NPI Enumeration Date: | 11/06/2008 |
| NPI Last Update Date: | 11/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | CA2113#F5511 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |