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Individual
MICHAEL HERGENROETHER
Active
Individual
MICHAEL HERGENROETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC17188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0717880
BLUE SHIELD PIN
CA
01
—
DC07178800
BLUE CROSS PIN
CA
Enumeration date
08/22/2005
Last updated
07/13/2026
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