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Individual

DR. MICHAEL RUDOLPH COSENZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
238 HOSPITAL DR STE B, UKIAH, CA 95482
(707) 463-3668
(707) 463-3664
Mailing address
238 HOSPITAL DR STE B, UKIAH, CA 95482
(707) 463-3668
(707) 463-3664

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4380
CA

Other

Enumeration date
06/27/2006
Last updated
06/05/2014
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