| Sutter Medical Group Of The Redwoods | |
|
1400 Medical Center Dr Suite A Rohnert Park CA 94928-2924 | |
| (707) 586-0440 | |
| (707) 586-1444 |
| Full Name | Sutter Medical Group Of The Redwoods |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Medical Center Dr, Rohnert Park, California |
| Authorized Official Name and Position | Linda E Rockstroh (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7075218809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter Medical Group Of The Redwoods 3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 Ph: (707) 521-8809 | Sutter Medical Group Of The Redwoods 1400 Medical Center Dr Suite A Rohnert Park CA 94928-2924 Ph: (707) 586-0440 |
| NPI Number | 1861589483 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861589483 | NPI | - | NPPES |
| GR0055425 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | (California) | Secondary |
| 363L00000X | Nurse Practitioner | (California) | Secondary |
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