Individual
DAVID MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3883 AIRWAY DR STE 130, SANTA ROSA, CA 95403-1671
(707) 521-7999
(707) 521-7703
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-7999
(707) 521-7703
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
1162306
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/19/2015
Last updated
09/02/2020
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