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Individual
GARY MISHKIN
Active
Individual
GARY MISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
CAG056321
CA
207Q00000X
Family Medicine Physician
Primary
G56321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAG056321
STATE LICENSE NUMBER
CA
Enumeration date
11/30/2005
Last updated
03/13/2024
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