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Organization
SUTTER MEDICAL GROUP OF THE REDWOODS
Active
Organization
SUTTER MEDICAL GROUP OF THE REDWOODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E ROCKSTROH (CREDENTIALING SPECIALIST)
(707) 521-8809
Entity
Organization
Contact information
Practice address
1111 SONOMA AVE, SUITE 316, SANTA ROSA, CA 95405-4819
(707) 575-9167
(707) 575-4819
Mailing address
3883 AIRWAY DR, SUITE 300, SANTA ROSA, CA 95403-1670
(707) 521-8809
(707) 521-8835
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055422
—
CA
Enumeration date
12/12/2006
Last updated
04/09/2008
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