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1174572952
MICHAEL L. MEDVIN
SANTA ROSA, CA
NPI
1174572952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G67405)
Enumeration Date
2006-05-09
Last Update Date
2013-02-25
Business Address
-- MICHAEL L. MEDVIN M.D.
1287 FULTON RD
SANTA ROSA, CA 95401-4923
Phone number: 707-888-5808
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Mailing Address
-- MICHAEL L. MEDVIN M.D.
122 CALISTOGA RD. #343
SANTA ROSA, CA 95409
Phone number: 707-888-5808
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