Individual
DON MICHAEL ENDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12700 WELCH ST, WATERFORD, CA 95386-8765
(209) 874-2345
(209) 874-3926
Mailing address
2416 CANASTA CT, LA GRANGE, CA 95329-9633
(209) 874-2345
(209) 874-2345
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A533571
MEDICAL
CA
Enumeration date
07/29/2005
Last updated
02/01/2024
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