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Individual

CARL WARSOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3866
(916) 774-8500
(916) 773-9223
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G20749
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G207490
CA
Enumeration date
09/22/2006
Last updated
07/08/2007
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