Organization
MICROSURGICAL TRANSPLANTATION RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M BUNCKE MD (OWNER PRESIDENT)
(415) 565-6136
Entity
Organization
Contact information
Practice address
45 CASTRO ST, SUITE 121, SAN FRANCISCO, CA 94114-1022
(877) 276-7759
(720) 493-8807
Mailing address
45 CASTRO ST, #121, SAN FRANCISCO, CA 94114-1010
(415) 565-6136
(415) 864-1654
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
482481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0047450
—
CA
Enumeration date
10/24/2005
Last updated
05/11/2009
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