Individual
DR. TOMAS VASILIAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 DOYLE PARK DR, SUITE G05, SANTA ROSA, CA 95405-4558
(707) 576-7100
(707) 576-8482
Mailing address
500 DOYLE PARK DR, SUITE G05, SANTA ROSA, CA 95405-4558
(707) 576-7100
(707) 576-8482
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C51710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51710
CALIFORNIA STATE LICENSE
CA
Enumeration date
09/21/2006
Last updated
11/11/2021
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