Individual
MICHAEL MILTON GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 EL CAPITAN DR, SUITE 440, DANVILLE, CA 94526-6258
(925) 277-1117
(925) 277-1119
Mailing address
1320 EL CAPITAN DR STE 120, DANVILLE, CA 94526-6260
(925) 676-2600
(925) 680-0212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G70422
CA
208C00000X
Colon & Rectal Surgery Physician
G70422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1426034
TAX ID #
—
Enumeration date
11/18/2005
Last updated
06/08/2020
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