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Individual

FRANK MAINZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 HYDE ST, SAN FRANCISCO, CA 94109-4806
(415) 353-6390
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 883-1218

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G12512
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G12512
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G125120
CA
Enumeration date
05/11/2006
Last updated
02/25/2008
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