Dwain William Rickertsen M.D.

NPI 1619165925 - Family Medicine - 207Q00000X

NPI Details
NPI 1619165925
Gender Male
Enumeration Date 10/11/2007
Last Updated 07/17/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1233 PLUMAS ST
SUITE A
YUBA CITY CA, 95991-3410, US
Phone (530) 671-2020
Fax (530) 671-6797
Business Location
1233 PLUMAS ST
SUITE A
YUBA CITY CA, 95991-3410, US
Phone (530) 671-2020
Fax (530) 671-6797
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A450730
Remove 1619165925 NPI Number
 

According to our database, Dr. Dwain William Rickertsen M.D. NPI is 1619165925, taxonomy code is 207Q00000X and license number is A450730, license state is located at California. Dwain William Rickertsen M.D. physically located at 1233 Plumas St, Yuba City CA, 95991-3410. NPI Number Dwain William Rickertsen M.D. has the Individual type.

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1619165925 NPI number is provided on an as is basis without warranty of any kind. 1619165925 is maintained by the National Plan & Provider Enumeration System. The contents of Dwain William Rickertsen M.D. are for informational purposes only.