Michael T. Bollinger, Md, a Professional Corporation
NPI #1558535419 in Sebastopol, California
Provider Information
- NPI Number
- 1558535419
- Entity Type
- Organization
- Organization Name
- Michael T. Bollinger, Md, a Professional Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 22, 2008
- Last Updated
- Jun 30, 2011
Practice Location
- Address
- 555 PETALUMA AVE STE B
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4225
- Phone
- (707) 823-7602
Authorized Official
- Name
- DR. MICHAEL THOMAS BOLLINGER, M.D.
- Title
- CEO/PHYSICIAN
- Phone
- (707) 823-7602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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