Individual
DR. THEODORE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4300
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3257
(989) 779-5240
(989) 779-5254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A143051
CA
Other
Enumeration date
03/25/2011
Last updated
05/10/2017
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