NPI 1427183672

Michael Thornton Longaker, MDMBA

Practitioner Plastic Surgery Physician Stanford, CA

Practice location

Address: 257 Campus Dr, Stanford, CA 94305-5101
Phone: (650) 736-1707
Fax: (650) 736-1705
Mailing address: 55 Shearer Dr, Atherton, CA 94027-3935

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence G57362 (CA)

Other Plastic Surgery providers in California →

Registry record

NPI: 1427183672
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.