Healthcare Provider Details

I. General information

NPI: 1639113533
Provider Name (Legal Business Name): WALTER ERNEST FINKBEINER MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVENUE BLDG 3 RM 102
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

PO BOX 7464
SAN FRANCISCO CA
94120-7464
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-6068
  • Fax: 415-206-5988
Mailing address:
  • Phone: 415-206-3103
  • Fax: 415-206-3872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberG41479
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: