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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
DR. STEVEN E LEVENBERG D.O. (PRESIDENT, SMGR)
(707) 521-8809
Entity
Organization
Contact information
Practice address
8465 OLD REDWOOD HWY, SUITE 320, WINDSOR, CA 95492-8090
(707) 521-8809
(707) 521-8835
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
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091420
—
CA
01
—
ZZZ013170Z
BLUE SHIELD
CA
Enumeration date
07/22/2008
Last updated
07/22/2008
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