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Organization
COMMUNITY WELLNESS MEDICAL ASSOCIATES A PC
Active
Organization
COMMUNITY WELLNESS MEDICAL ASSOCIATES A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TINAMISAN CATAUSAN (MD)
(913) 827-7273
Entity
Organization
Contact information
Practice address
304 S 4TH ST STE 301, DANVILLE, KY 40422-2081
(650) 722-2611
Mailing address
1821 S BASCOM AVE # 383, CAMPBELL, CA 95008-2309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
04/30/2025
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