Organization
MARIN ADVANCED WOUND CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER REYZELMAN DPM (AUTHORIZED OFFICIAL)
(925) 336-6062
Entity
Organization
Contact information
Practice address
165 ROWLAND WAY STE 208, NOVATO, CA 94945-5055
(415) 680-0871
(800) 808-1779
Mailing address
165 ROWLAND WAY STE 208, NOVATO, CA 94945-5055
(415) 680-0871
(800) 808-1779
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G59522
CA
Other
Enumeration date
06/10/2018
Last updated
12/17/2019
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