| Redwood Family Practice | |
|
2350 Buhne St Ste A Eureka CA 95501-3205 | |
| (707) 443-4593 | |
| Not Available |
| Full Name | Redwood Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2350 Buhne St Ste A, Eureka, California |
| Authorized Official Name and Position | Lawrence J Wieland (OWNER) |
| Authorized Official Contact | 7074434593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Family Practice 2350 Buhne St Ste A Eureka CA 95501-3205 Ph: (707) 443-4593 | Redwood Family Practice 2350 Buhne St Ste A Eureka CA 95501-3205 Ph: (707) 443-4593 |
| NPI Number | 1689780090 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689780090 | NPI | - | NPPES |
| GR0077160 | Medicaid | CA | |
| RHM03916F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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