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Individual

ANDREW CHARLES NOTHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1411 EAST 31ST ST, OAKLAND, CA 94602-1018
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTH STAR WAY, MODESTO, CA 95356
(209) 342-2300
(209) 524-4240

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A67299
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A672990
CA
Enumeration date
11/16/2005
Last updated
04/22/2008
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