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Michael Russell Tekautz, MD
Diagnostic Radiology Physician in Modesto, California
NPI 1821033861

Michael Russell Tekautz is a Diagnostic Radiology Physician based in Modesto, CA and is specialized in Diagnostic Radiology. Michael Russell Tekautz practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Michael Russell Tekautz is 1821033861 and holds a License No. G42730 (California).

The current practice location address for Michael Russell Tekautz is 1524 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-577-4444 and via fax at 209-527-2069.

Location: 1524 Mchenry Ave, Modesto, CA, 95354-0556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821033861
Provider Name
Michael Russell Tekautz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1524 Mchenry Ave, Modesto, CA, 95354-0556
Phone Number
209-577-4444
Fax Number
209-527-2069
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G427300 05 CA
institution
Provider Business Practice Location Address Details
Address
1524 Mchenry Ave
City
Modesto
State
California
Zip
95350-4500
Phone Number
209-577-4444
Fax Number
209-527-2069
person
Provider Business Mailing Address Details
Address
1524 Mchenry Ave
City
Modesto
State
California
Zip
95350-4500
Phone Number
209-577-4444
Fax Number
209-527-2069
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G42730 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G42730 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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