Individual
DR. MICHAEL NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-8480
(650) 652-8490
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.024637
OH
207RG0100X
Gastroenterology Physician
036.143497
IL
207RG0100X
Gastroenterology Physician
Primary
A167883
CA
Other
Enumeration date
03/31/2014
Last updated
08/27/2020
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