Provider Demographics
NPI:1356475347
Name:WEBB-KUMMER, GRETCHEN G (MD)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:G
Last Name:WEBB-KUMMER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1425 WEST H ST
Mailing Address - Street 2:STE 200
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-3590
Mailing Address - Country:US
Mailing Address - Phone:209-848-1005
Mailing Address - Fax:209-845-8918
Practice Address - Street 1:1425 WEST H ST
Practice Address - Street 2:STE 200
Practice Address - City:OAKDALE
Practice Address - State:CA
Practice Address - Zip Code:95361-3590
Practice Address - Country:US
Practice Address - Phone:209-848-1005
Practice Address - Fax:209-845-8918
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2017-02-23
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Provider Licenses
StateLicense IDTaxonomies
CAA94868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine