Individual
DR. JERRY MICHAEL CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 DOBBINS ST STE A, VACAVILLE, CA 95688-2700
(707) 887-3651
(707) 210-0480
Mailing address
97 DOBBINS ST STE A, VACAVILLE, CA 95688-2700
(707) 887-3651
(707) 210-0480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11423
NV
207VX0000X
Obstetrics Physician
Primary
A106005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306011374
—
CA
01
—
CS13448
PHARMACY/CDS
NV
Enumeration date
12/30/2005
Last updated
06/20/2025
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