OrganizationActive
Michael R. Cosenza, DPM, Inc.
NPI 1316459787 · Primary Podiatric Medicine Podiatrist · Ukiah, CA
Provider details
- NPI number
- 1316459787
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kellie Hawkins, Credentialing Account Manager(210) 298-6847
- License
- E4380 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
238 Hospital Dr Ste B
Ukiah, CA 95482-4559
Phone: (707) 463-3668
Fax: (707) 463-3664
Approximate (ZIP-level) locationGet directions
Mailing address
238 Hospital Dr Ste B
Ukiah, CA 95482-4559
Registry dates
- Enumerated
- 2017-10-25
- Last updated
- 2017-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.