Individual
DR. KAI UWE MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 MONTGOMERY DR, SANTA ROSA, CA 95405-4557
(707) 546-1922
(707) 546-1987
Mailing address
1405 MONTGOMERY DR, SANTA ROSA, CA 95405-4557
(707) 546-1922
(707) 546-1987
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G72305
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G72305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G723050
CIGNA DME
CA
05
—
00G723050
—
CA
01
—
G72305
LICENSE
CA
Enumeration date
06/13/2006
Last updated
09/17/2013
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