Individual
ANNELISE ALEXANDRA COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 353-7800
Mailing address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A203626
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
04/21/2026
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