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Dr. Russell Leonard Sandberg, MD
Addiction Medicine (Internal Medicine) Physician in San Rafael, California
NPI 1265522528

Russell Leonard Sandberg is an Addiction Medicine (Internal Medicine) Physician based in San Anselmo, CA and is specialized in Addiction Medicine. Russell Leonard Sandberg practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for Russell Leonard Sandberg is 1265522528 and holds a License No. G26538 (California).

The current practice location address for Russell Leonard Sandberg is 1466 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-457-3755 and via fax at 415-457-0849.

Location: 1466 Lincoln Ave, San Rafael, CA, 94960-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265522528
Provider Name
Russell Leonard Sandberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1466 Lincoln Ave, San Rafael, CA, 94960-1210
Phone Number
415-457-3755
Fax Number
415-457-0849
Provider Enumeration Date
10/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G265381 05 CA
institution
Provider Business Practice Location Address Details
Address
1466 Lincoln Ave
City
San Rafael
State
California
Zip
94901-2021
Phone Number
415-457-3755
Fax Number
415-457-0849
person
Provider Business Mailing Address Details
Address
1466 Lincoln Ave
City
San Rafael
State
California
Zip
94901-2021
Phone Number
415-457-3755
Fax Number
415-457-0849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
G26538 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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