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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY S. NICOLAISEN, MD

Active

GARY S. NICOLAISEN, MD is a Urology healthcare provider located in SAN RAFAEL, California. NPI 1598849572 is currently active in the NPPES registry. Verify at CMS.

Urology · SAN RAFAEL, CA

Registration Details

NPI Number
1598849572
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.824328114064 yrs)
Last Updated
Jul 8, 2007
License
G42970 (CA)

Practice Information

Address
99 MONTECILLO RD
SAN RAFAEL, CA, 949033308
Browse CA providers · Browse ZIP 94903
Phone
4154442000
Primary Specialty
Urology
208800000X

Other Urology Providers in SAN RAFAEL, CA

Name Credential NPI
ANTHONY A. EASON MD 1871677849
PAUL F. ALPERT MD 1417031402
JAY S. BELANI MD 1396829396
JOSEPH H. LEE MD 1659459238
DR. JUSTIN LA MD 1063867513
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.