Individual
MICHAEL LEONCE PEZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1162 MONTGOMERY DR STE 300, SANTA ROSA, CA 95405-4802
(707) 890-4250
(707) 476-2240
Mailing address
1162 MONTGOMERY DR STE 300, SANTA ROSA, CA 95405-4802
(707) 890-4250
(707) 476-2240
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A168740
CA
390200000X
Student in an Organized Health Care Education/Training Program
276415
NY
Other
Enumeration date
03/29/2011
Last updated
08/28/2025
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