Individual
SETH KROSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 294-8111
Mailing address
550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
(619) 298-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G84478
CA
2086S0127X
Trauma Surgery Physician
Primary
G84478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G844780
—
CA
Enumeration date
04/06/2006
Last updated
12/02/2014
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