Doctor Name: | DR. JOHN ANDREW PFEILSTICKER |
NPI Number: | 1609889567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME46226 |
Business Practice Address: | 6302 Manatee Ave W Suite I-2 Bradenton, FL - 342092377 |
Business Phone Number: | 9417472282 |
Business Fax Number: | 9417570656 |
Mailing Address: | 6302 Manatee Ave W., Suite I-2 BRADENTON |
State: | FL |
Postal Code: | 342093851 |
Phone Number: | 9417472282 |
Fax Number: | 9417920006 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME46226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |