Individual
MICHAEL JOHN GOTHELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 COUNTRY CLUB DRIVE, MILL VALLEY, CA 94941
(415) 383-8947
(415) 383-6574
Mailing address
115 COUNTRY CLUB DRIVE, MILL VALLEY, CA 94941
(415) 383-8947
(415) 383-6574
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G15676
CA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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