Individual
MICHAEL I BOZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3835 CYPRESS DR, STE 202, PETALUMA, CA 94954-6965
(707) 763-3967
Mailing address
3835 CYPRESS DR, STE 202, PETALUMA, CA 94954-6965
(707) 763-3967
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A73703
CA
208D00000X
General Practice Physician
A73703
CA
Other
Enumeration date
07/26/2006
Last updated
12/03/2021
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