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SETH AMMERMAN MD
Adolescent Medicine >> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1831290154
Individual Registrant: SETH AMMERMAN MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1381 UNIVERSITY ST HEALDSBURG, CA 95448-3314 US
Tel: 707-433-5494 Fax: 707-385-2157
Tel: 707-433-5494 Fax: 707-385-2157
Contact information for business:
1381 UNIVERSITY ST HEALDSBURG, CA 95448-3314 US
Tel: 707-433-5494 Fax: 707-385-2157
Tel: 707-433-5494 Fax: 707-385-2157
Registration Information:
NPI: 1831290154
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2080A0000X | Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine | CA | G54409 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00G544090 | CA | 05 |
