Provider Demographics
NPI:1710922919
Name:PLETCHER, MARK J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:PLETCHER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 DIVISADERO ST STE 500
Mailing Address - Street 2:BOX 1732
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3011
Mailing Address - Country:US
Mailing Address - Phone:415-353-7300
Mailing Address - Fax:415-353-7901
Practice Address - Street 1:1701 DIVISADERO ST FL 5
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-353-7300
Practice Address - Fax:415-353-7901
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAA71727207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A717270Medicaid
CAH43182Medicare UPIN
CA00A717270Medicaid