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Individual

DR. MICHAEL LANE GINSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2458 HILBORN RD, FAIRFIELD, CA 94534-1072
(707) 646-5500
(707) 646-5501
Mailing address
2458 HILBORN RD, FAIRFIELD, CA 94534-1072
(707) 646-5500
(707) 646-5501

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
250559
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A106486
CA

Other

Enumeration date
03/06/2009
Last updated
10/27/2009
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