IndividualActive
Danica Wiredja, MD
NPI 1811459696 · Molecular Genetic Pathology (Pathology) Physician · Stanford, CA
Provider details
- NPI number
- 1811459696
- Entity type
- Individual
- Primary specialty
- Molecular Genetic Pathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- DR.0071377 (CO)
Practice location
300 Pasteur Drive
Edwards Building, R204
Stanford, CA 94305-4245
Phone: (650) 721-5755
Mailing address
Po Box 110429
Aurora, CO 80042-0429
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.