Individual
DR. EDWARD FOTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 ALEXANDER AVE, SAUSALITO, CA 94965-2512
(415) 332-8599
(415) 332-8530
Mailing address
2 ALEXANDER AVE, SAUSALITO, CA 94965-2512
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G50762
CA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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