MEDICARE: DR. FRITZ-ULRICH STOLLE III DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC36397	CA

General Provider Information

NPI Number	:	1417676305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRITZ-ULRICH STOLLE III DC

Provider Business Mailing Address
First Line	:	2676 GREAT HWY
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2615
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 UNION ST STE 440
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4109
Country	:	US
Telephone Number	:	415-523-9367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2022
Last Update Date	:	08/24/2022

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Directions to “ DR. FRITZ-ULRICH STOLLE III DC” Practice Location

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