location
search-icon
person
Gary S. Nicolaisen, MD
Urology Physician in San Rafael, California
NPI 1598849572

Gary S. Nicolaisen is a Urology Physician based in Oakland, CA. Gary S. Nicolaisen practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for Gary S. Nicolaisen is 1598849572 and holds a License No. G42970 (California).

The current practice location address for Gary S. Nicolaisen is 99 Montecillo Rd, San Rafael, CA and can be reached out via phone at 415-444-2000.

Location: 99 Montecillo Rd, San Rafael, CA, 94612-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598849572
Provider Name
Gary S. Nicolaisen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Montecillo Rd, San Rafael, CA, 94612-3429
Phone Number
415-444-2000
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00G429700 05 CA
institution
Provider Business Practice Location Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2000
Fax Number
person
Provider Business Mailing Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
G42970 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.