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SETH AMMERMAN MD

Adolescent Medicine >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1831290154

Individual Registrant:
 SETH  AMMERMAN MD
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

Contact information for business:
1381 UNIVERSITY ST  HEALDSBURG, CA 95448-3314 US
Tel: 707-433-5494  Fax: 707-385-2157

Registration Information:
NPI: 1831290154
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080A0000XAllopathic & Osteopathic Physicians
Pediatrics
Adolescent Medicine
CAG54409

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G544090CA05




HEALTH CARE JOBS CA - Page 1



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