Individual
GREG MICHAEL HUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O
Contact information
Practice address
5900 COYLE AVE STE B, CARMICHAEL, CA 95608-0400
(916) 349-7600
(916) 349-7606
Mailing address
5900 COYLE AVE STE B, CARMICHAEL, CA 95608-0400
(916) 349-7600
(916) 349-7606
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO 02012
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS &PEDORTHICS
CA
Enumeration date
03/10/2017
Last updated
03/10/2017
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