Organization
DON MICHAEL ENDRESS M.D.
Active
Other names
CEDAR FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DON MICHAEL ENDRESS M.D. (MD)
(209) 874-2345
Entity
Organization
Contact information
Practice address
12700 WELCH ST, WATERFORD, CA 95386-8765
(209) 874-2345
(209) 874-3926
Mailing address
2416 CANASTA CT, LA GRANGE, CA 95329-9633
(209) 874-2345
(209) 874-3926
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM03917G
—
CA
Enumeration date
12/04/2006
Last updated
06/27/2008
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