Individual
DAVID FICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
678 PETALUMA AVE, SEBASTOPOL, CA 95472-4217
(707) 829-1811
(707) 829-5593
Mailing address
678 PETALUMA AVE, SEBASTOPOL, CA 95472-4217
(707) 829-1811
(707) 829-5593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G56079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G560790
—
CA
Enumeration date
10/11/2005
Last updated
11/25/2024
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