Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Robert Mancuso, MD/PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366708885

Dr. Michael Robert Mancuso, MD/PHD is a Student in an Organized Health Care Education/Training Program in Stanford, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

300 Pasteur Drive Grant S101
Stanford, CA 94305-5109
Phone: (925) 899-2029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366708885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 10, 2012
Mailing address300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109

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