Individual
JON BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 MARIE ST, SAUSALITO, CA 94965-1864
(415) 289-1043
Mailing address
28 MARIE ST, SAUSALITO, CA 94965-1864
(415) 289-1043
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G15544
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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