Individual
MICHAEL A HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 NO CALIFORNIA STREET, STOCKTON, CA 95204-0000
(209) 473-6555
(209) 473-6544
Mailing address
3116 W MARCH LANE, SUITE 200, STOCKTON, CA 95219-2370
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
20A6617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6617
OSTEOPATHIC CA LICENSE
CA
Enumeration date
10/03/2006
Last updated
07/09/2007
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