| Mr Dana Charles Niendorf, MD | |
|
1496 Professional Dr, Ste 603, Petaluma, CA 94954 | |
| (707) 762-0059 | |
| (707) 762-8011 |
| Full Name | Mr Dana Charles Niendorf |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1496 Professional Dr, Petaluma, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588674147 | NPI | - | NPPES |
| 5233018 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | G24293 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dana Charles Niendorf, MD 1496 Professional Dr, Ste 603, Petaluma, CA 94954 Ph: (707) 762-0059 | Mr Dana Charles Niendorf, MD 1496 Professional Dr, Ste 603, Petaluma, CA 94954 Ph: (707) 762-0059 |
David Mark Rudnick, MD Urology Medicare: Medicare Enrolled Practice Location: 1496 Professional Dr, Suite 603, Petaluma, CA 94954 Phone: 707-762-0059 | |
Dr. Benjamin C Dudley, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 335 S Mcdowell Blvd, Petaluma, CA 94954 Phone: 415-461-4000 Fax: 415-461-6907 |