MICHAEL RUSSELL TEKAUTZ

MODESTO, CA
NPI1821033861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G42730)
Additional Taxonomies2085B0100X Radiology, Body Imaging
(Licence: CA  G42730)
Enumeration Date2006-06-16
Last Update Date2008-08-12
Business Address
-- MICHAEL RUSSELL TEKAUTZ M.D.
1524 MCHENRY AVE SUITE 100
MODESTO, CA 95350-4500
Phone number: 209-577-4444
Mailing Address
-- MICHAEL RUSSELL TEKAUTZ M.D.
101 PARK AVE
MODESTO, CA 95354-0556
Phone number: 209-571-6622