Individual
DR. ROBERT ANSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 WEBSTER ST, 1105, OAKLAND, CA 94609-3117
(510) 763-0217
(510) 465-9916
Mailing address
3300 WEBSTER ST, 1105, OAKLAND, CA 94609-3117
(510) 763-0217
(510) 465-9916
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G10874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G10874
STATE LICENSE
CA
Enumeration date
03/06/2007
Last updated
07/08/2007
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