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Individual

DR. JUSTIN J ERNAT

Active
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Individual

DR. JUSTIN J ERNAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2016032298
MO
207X00000X
Orthopaedic Surgery Physician
49721
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
54531
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR.0063541
CO
208D00000X
General Practice Physician
MD-16545
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205120177
NPI
Enumeration date
06/07/2011
Last updated
10/25/2021
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