MEDICARE: SITTLER MD INC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1730721747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SITTLER MD INC

Provider Business Mailing Address
First Line	:	680 2ND ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2015
Country	:	US
Telephone Number	:	415-373-6706
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 2ND ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2015
Country	:	US
Telephone Number	:	415-373-6706
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EDWARD SITTLER
Credential	:
Telephone Number	:	415-373-6706

Provider Enumeration Date	:	10/10/2019
Last Update Date	:	10/10/2019

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