MEDICARE: DR. DIANE KORSOWER M.D.

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
1	207Q00000X	Family Medicine Physician	G37007	CA

General Provider Information

NPI Number	:	1710046008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANE KORSOWER M.D.

Provider Business Mailing Address
First Line	:	1956 MAD RIVER RD
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-9691
Country	:	US
Telephone Number	:	707-826-1496
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HARPST ST
Second Line	:	STUDENT HEALTH CENTER, HUMBOLDT STATE UNIVERSITY
City	:	ARCATA
State	:	CA
Zip	:	95521-8222
Country	:	US
Telephone Number	:	707-826-3146
Fax Number	:	707-826-5042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1952234684 — MRS. STEPHANIE MCKINDLEY I WELLNESS COACH 2
Practice Location Address:

1 HARPST ST
ARCATA, CA
95521-8222

Practice Phone: 707-457-7390
Practice Fax:

1619988227 — KAREN AGNES MOULTON FNP MASTER HLTH SVCS
Practice Location Address:

1 HARPST ST
ARCATA, CA
95521-8222

Practice Phone: 707-826-5060
Practice Fax: 707-826-5042

1104991744 — HUMBOLDT STATE UNIVERSITY
Practice Location Address:

1 HARPST ST , BUILDING 42
ARCATA, CA
95521-8222

Practice Phone: 707-826-5019
Practice Fax: 707-826-5042

1801962758 — KAREN LOUISE SELIN MD
Practice Location Address:

1 HARPST ST
ARCATA, CA
95521-8222

Practice Phone: 707-826-3146
Practice Fax:

1780731778 — JACKIE WIEDEMANN
Practice Location Address:

1 HARPST ST
ARCATA, CA
95521-8222

Practice Phone: 707-826-3146
Practice Fax:

1710106703 — DR. REBECCA ANN STAUFFER MD
Practice Location Address:

1 HARPST ST , HUMBOLDT STATE UNIVERSITY
ARCATA, CA
95521-8222

Practice Phone: 707-826-5029
Practice Fax: 707-826-5042

Directions to “ DR. DIANE KORSOWER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.