| Walter C. Prehn M.d. A Professional Corporation | |
|
181 Andrieux St Suite 206 Sonoma CA 95476-6920 | |
| (707) 495-7762 | |
| (707) 938-7337 |
| Full Name | Walter C. Prehn M.d. A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 181 Andrieux St, Sonoma, California |
| Authorized Official Name and Position | Walter Craig Prehn (PRESIDENT) |
| Authorized Official Contact | 7074957762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter C. Prehn M.d. A Professional Corporation 181 Andrieux St Suite 206 Sonoma CA 95476-6920 Ph: (707) 495-7762 | Walter C. Prehn M.d. A Professional Corporation 181 Andrieux St Suite 206 Sonoma CA 95476-6920 Ph: (707) 495-7762 |
| NPI Number | 1306143169 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 10/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306143169 | NPI | - | NPPES |
| 00G254540 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G25454 (California) | Primary |
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