Individual
EILER JOHN SOMMERHAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1383 N MCDOWELL BLVD, SUITE 110, PETALUMA, CA 94954-1187
(707) 766-9852
(707) 766-1749
Mailing address
PO BOX 751375, PETALUMA, CA 75137
(707) 766-9852
(707) 766-1749
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G81043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR002104R
MEDI-CAL
CA
Enumeration date
11/16/2005
Last updated
11/04/2008
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