Mark Greg Iwanicki, ND
Naturopath in Mill Valley, CA. Individual provider (NPI-1).
NPI number1780136192
StatusActive
Last updated in NPPESNov 2, 2016
Details
- NPI
- 1780136192
- Entity type
- Individual (NPI-1)
- Name
- Mark Greg Iwanicki
- Credential
- ND
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2016
- Last updated
- Nov 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | ND833 | CA | Yes |
Practice location
125 Throckmorton AveMill Valley, CA 94941-1909
Phone 917-971-6625
Mailing address
355 Valdez AveSan Francisco, CA 94127-2123
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