institution
Michael T. Bollinger, Md, A Professional Corporation
Specialist in Sebastopol, California
NPI 1558535419

Michael T. Bollinger, Md, A Professional Corporation is a Specialist based in Sebastopol, CA. Michael T. Bollinger, Md, A Professional Corporation practices in Sebastopol, CA. The NPI Number for Michael T. Bollinger, Md, A Professional Corporation is 1558535419 and holds a License No. A65404 (California).

The current practice location address for Michael T. Bollinger, Md, A Professional Corporation is 555 Petaluma Ave Ste B, Sebastopol, CA and can be reached out via phone at 707-823-7602 and via fax at 707-823-7625.

Location: 555 Petaluma Ave Ste B, Sebastopol, CA, 95472-4225
institution
Provider Profile Details
NPI Number
1558535419
Provider Name
Michael T. Bollinger, Md, A Professional Corporation
Credential
Provider Entity Type
Organization
Address
555 Petaluma Ave Ste B, Sebastopol, CA, 95472-4225
Phone Number
707-823-7602
Fax Number
707-823-7625
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A654040 05 CA
institution
Provider Business Practice Location Address Details
Address
555 Petaluma Ave Ste B
City
State
Zip
95472-4225
Phone Number
707-823-7602
Fax Number
707-823-7625
person
Provider Business Mailing Address Details
Address
555 Petaluma Ave Ste B
City
State
Zip
95472-4225
Phone Number
707-823-7602
Fax Number
707-823-7625
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A65404 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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