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Carolyn Petersen, M.D

NPI 1215381173 · on the registry since 2016 · sole proprietor

Practice

Address
509 Litho St
Sausalito, CA 94965
Phone
(415) 521-0481

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207RI0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California