Provider Demographics
NPI:1194440685
Name:STERWERF, ALBERT M
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:M
Last Name:STERWERF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 CARMEL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-3147
Mailing Address - Country:US
Mailing Address - Phone:831-521-5292
Mailing Address - Fax:
Practice Address - Street 1:268 CARMEL AVE APT 2
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-3147
Practice Address - Country:US
Practice Address - Phone:831-521-5292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach