Individual
MR. WARREN J STRUDWICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 HOLLIS STREET # K, EMERYVILLE, CA 94608
(510) 922-1614
(510) 922-8564
Mailing address
5900 HOLLIS STREET # K, EMERYVILLE, CA 94608
(510) 922-1614
(510) 922-8564
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G52222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121708
DEPT OF LABOR & INDUSTRIE
WA
01
—
349617200
U.S. DEPT OF LABOR
—
Enumeration date
04/06/2006
Last updated
02/09/2015
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