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Organization
JAN O SONANDER, MD
Active
Organization
JAN O SONANDER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN O SONANDER MD (OWNER)
(707) 542-8700
Entity
Organization
Contact information
Practice address
11 DOCTORS PARK DR, SANTA ROSA, CA 95405
(707) 542-8700
(707) 528-8700
Mailing address
11 DOCTORS PARK DR, SANTA ROSA, CA 95405
(707) 542-8700
(707) 528-8700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G56178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G561780
MEDICARE GROUP PTAN
CA
Enumeration date
01/24/2008
Last updated
09/18/2008
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