Individual
GARRET HISATAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2340 CLAY ST, 4TH FLOOR, SAN FRANCISCO, CA 94115-1932
(415) 600-1010
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
G86074
CA
Other
Enumeration date
07/17/2006
Last updated
10/26/2011
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