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NPI Code Detail

MEDICARE: WENDY O. BUFFETT MD

MEDICARE: WENDY O. BUFFETT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG80799CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154373165
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY O. BUFFETT MD
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 1801 SHATTUCK AVE STE A
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1872
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 03/17/2025

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Directions to “ WENDY O. BUFFETT MD” Practice Location

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