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Don Michael Endress M.d.
General Practice Physician in Waterford, California
NPI 1326106501

Don Michael Endress M.d. is a General Practice Physician based in La Grange, CA. Don Michael Endress M.d. practices in Waterford, CA. The NPI Number for Don Michael Endress M.d. is 1326106501 and holds a License No. A53357 (California).

The current practice location address for Don Michael Endress M.d. is 12700 Welch St, Waterford, CA and can be reached out via phone at 209-874-2345 and via fax at 209-874-3926.

Location: 12700 Welch St, Waterford, CA, 95329-9633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326106501
Provider Name
Don Michael Endress M.d.
Credential
Provider Entity Type
Organization
Address
12700 Welch St, Waterford, CA, 95329-9633
Phone Number
209-874-2345
Fax Number
209-874-3926
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHM03917G 05 CA
institution
Provider Business Practice Location Address Details
Address
12700 Welch St
City
Waterford
State
California
Zip
95386-8765
Phone Number
209-874-2345
Fax Number
209-874-3926
person
Provider Business Mailing Address Details
Address
12700 Welch St
City
Waterford
State
California
Zip
95386-8765
Phone Number
209-874-2345
Fax Number
209-874-3926
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A53357 (California)
Definition
Definition to come...
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