Doctor Name: | EDMEE MARGUERITE DANAN |
NPI Number: | 1013063957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A43309 |
Business Practice Address: | 120 Pleasant Hill Ave N Suite 370 Sebastopol, CA - 954723164 |
Business Phone Number: | 7078236074 |
Business Fax Number: | |
Mailing Address: | 120 Pleasant Hill Ave N, Suite 370 SEBASTOPOL |
State: | CA |
Postal Code: | 954723164 |
Phone Number: | 7078236074 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | A43309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |