Individual
DR. GLENN SAU-SHUN TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 EUREKA RD, SURGERY CLINIC, ROSEVILLE, CA 95661-3027
(916) 784-4147
(916) 784-5405
Mailing address
1600 EUREKA RD, SURGERY CLINIC, ROSEVILLE, CA 95661-3027
(916) 784-4147
(916) 784-5405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A75460
CA
2086S0102X
Surgical Critical Care Physician
00A754600
CA
2086S0127X
Trauma Surgery Physician
00A754600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A754600
—
CA
Enumeration date
12/05/2005
Last updated
12/13/2021
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