Ellen Betty Kruusmagi MD

NPI 1003831793 - Family Medicine - 207Q00000X

NPI Details
NPI 1003831793
Gender Female
Enumeration Date 07/13/2006
Last Updated 04/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
144 STONY POINT RD
SANTA ROSA CA, 95401, US
Phone (707) 521-4500
Fax (707) 544-4626
Business Location
144 STONY POINT RD
SANTA ROSA CA, 95401, US
Phone (707) 521-4500
Fax (707) 544-4626
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G61813
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According to our database, Ellen Betty Kruusmagi MD NPI is 1003831793, taxonomy code is 207Q00000X and license number is G61813, license state is located at California. Ellen Betty Kruusmagi MD physically located at 144 Stony Point Rd, Santa Rosa CA, 95401. NPI Number Ellen Betty Kruusmagi MD has the Individual type.

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1003831793 NPI number is provided on an as is basis without warranty of any kind. 1003831793 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Betty Kruusmagi MD are for informational purposes only.