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Individual

MICHAEL R. KINZINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-8580
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(650) 652-8580
(650) 652-8581

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A139760
CA
207Y00000X
Otolaryngology Physician
MD60934004
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124434071
WA
Enumeration date
07/10/2014
Last updated
03/03/2025
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