Individual
DR. MICHAEL JOHN NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2338 21ST AVE, SAN FRANCISCO, CA 94116-2430
(415) 244-8459
Mailing address
2338 21ST AVE, SAN FRANCISCO, CA 94116-2430
(415) 244-8459
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A 107003
CA
Other
Enumeration date
11/04/2009
Last updated
02/11/2022
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