Individual
SETH AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1381 UNIVERSITY ST, HEALDSBURG, CA 95448-3314
(707) 433-5494
(707) 385-2157
Mailing address
1381 UNIVERSITY ST, HEALDSBURG, CA 95448-3314
(707) 433-5494
(707) 385-2157
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G54409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G544090
—
CA
Enumeration date
09/26/2006
Last updated
04/01/2019
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