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Individual

DR. PETER JOHANNET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3801 MIRANDA AVE # 112, PAVAHCS, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0237
Mailing address
3801 MIRANDA AVE # 112, PAVAHCS, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 849-0237

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G68709
CA

Other

Enumeration date
08/05/2006
Last updated
07/08/2007
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