Individual
MARK MEDDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27200 CALAROGA AVE, HAYWARD, CA 94545-4339
(510) 264-4046
Mailing address
27200 CALAROGA AVE, HAYWARD, CA 94545-4339
(510) 264-4046
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11775
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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