Provider Demographics
NPI:1417012741
Name:VERREES, MARGARET ANN (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:VERREES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 E HERNDON AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3306
Mailing Address - Country:US
Mailing Address - Phone:559-438-1245
Mailing Address - Fax:559-261-2968
Practice Address - Street 1:1313 E HERNDON AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3306
Practice Address - Country:US
Practice Address - Phone:559-438-1245
Practice Address - Fax:559-261-2968
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35086294207T00000X
CAC53509207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2559502Medicaid
OHI33956Medicare UPIN
OHVE7334631Medicare ID - Type Unspecified