MICHAEL E ENNIS

PERMANENTE MEDICAL GROUP INC

Dr MICHAEL E ENNIS is a male medical professional, specializing in Anesthesiology. He graduated in 1989 from University Of Southern California School Of Medicine.

Contact

PERMANENTE MEDICAL GROUP INC

4501 SAND CREEK RD
ANTIOCH
CA
945318687

Tel: 9258136500

MICHAEL E ENNIS Information

Npi 1205914363
Pac Id 9335324904
Professional Enrollment Id I20110425000603
Last Name ENNIS
First Name MICHAEL
Middle Name E
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERMANENTE MEDICAL GROUP INC
Group Practice Pac Id 8921910225
Number Of Group Practice Members 7392
Line 1 Street Address 4501 SAND CREEK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANTIOCH
State CA
Zip Code 945318687
Phone Number 9258136500
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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