Individual
DR. MICHAEL R. DJERNES
Active
Individual
DR. MICHAEL R. DJERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M5756
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001980
BLUE SHIELD
ID
01
—
000010034804
BLUE SHIELD
ID
05
—
002363800
—
ID
01
—
130007001
RAILROAD MEDICARE
ID
01
—
39594
BLUE CROSS
ID
01
—
45153
BLUE CROSS
ID
01
—
57562
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
08/13/2020
Update your record
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