Michael I Bozuk in Petaluma - General Practice
Michael I Bozuk - NPI 1700800604
Michael I Bozuk is a General Practice in Petaluma, California. Michael I Bozuk practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael I Bozuk is 1700800604. The last update date is 2021-12-03.
Michael I Bozuk's current location address is 3835 Cypress Dr, Petaluma, California. You can contact this provider via phone number 7077633967. The mailing address for Michael I Bozuk is 3835 Cypress Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael I Bozuk |
|---|---|
| Address | 3835 Cypress Dr, Petaluma, California |
| Phone Number | 7077633967 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700800604 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 3835 Cypress Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546965 |
| Phone Number | 7077633967 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A73703 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the Michael I Bozuk's unique identification number?
The Michael I Bozuk has been assigned the NPI (National Provider Identifier) Number 1700800604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Michael I Bozuk's facilities are situated?
The facilities of Michael I Bozuk are physically located at the following address: 3835 Cypress Dr, Petaluma, CA, 949546965.
What is the Michael I Bozuk's specialty and taxonomy code?
The Michael I Bozuk's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700800604 to Michael I Bozuk?
The Michael I Bozuk received its 1700800604 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information pertaining to Michael I Bozuk most recently updated or revised?
The details related to Michael I Bozuk, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-03.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC