| Jan O Sonander, Md | |
|
11 Doctors Park Dr Santa Rosa CA 95405 | |
| (707) 542-8700 | |
| (707) 528-8700 |
| Full Name | Jan O Sonander, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 11 Doctors Park Dr, Santa Rosa, California |
| Authorized Official Name and Position | Jan O Sonander (OWNER) |
| Authorized Official Contact | 7075428700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan O Sonander, Md 11 Doctors Park Dr Santa Rosa CA 95405 Ph: (707) 542-8700 | Jan O Sonander, Md 11 Doctors Park Dr Santa Rosa CA 95405 Ph: (707) 542-8700 |
| NPI Number | 1669659389 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669659389 | NPI | - | NPPES |
| 00G561780 | Other | CA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G56178 (California) | Primary |
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