| Organization Name: | MULDER & BAUMBACHER MDS INC. |
| NPI Number: | 1356779359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINE MULDER (SECRETARY/TREASURER) |
| Mailing Address: | 300 Tamal Plz Ste 150 Corte Madera |
| State: | CA US |
| Postal Code: | 949251160 |
| Phone Number: | 4159242195 |
| Fax Number: | 4159243841 |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | G20951 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |