Healthcare Provider Details
I. General information
NPI: 1710050182
Provider Name (Legal Business Name): THOMAS A GERMAN M D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/15/2006
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
611 ABBOTT ST STE 101
SALINAS CA
93901-4391
US
IV. Provider business mailing address
611 ABBOTT ST STE 101
SALINAS CA
93901-4391
US
V. Phone/Fax
- Phone: 831-757-3041
- Fax: 831-757-4612
- Phone: 831-649-1000
- Fax: 831-649-4962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | G25474 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: