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Individual

PAUL R KAESBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2279 45TH STREET, SACRAMENTO, CA 95817-2229
(916) 734-5959
(916) 703-5265
Mailing address
4501 X ST STE 3016, SACRAMENTO, CA 95817-2229
(916) 778-8181

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G88099
CA
207RX0202X
Medical Oncology Physician
25312
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31376900
WI
Enumeration date
02/28/2006
Last updated
08/29/2019
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