Healthcare Provider Details

I. General information

NPI: 1417012741
Provider Name (Legal Business Name): MARGARET ANN VERREES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 E HERNDON AVE SUITE 205
FRESNO CA
93720-3306
US

IV. Provider business mailing address

1313 E HERNDON AVE SUITE 205
FRESNO CA
93720-3306
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-1245
  • Fax: 559-261-2968
Mailing address:
  • Phone: 559-438-1245
  • Fax: 559-261-2968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35086294
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberC53509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: