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Individual

MICHAEL LOUIS KERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14089 COLLECTION CENTER DR, CHICAGO, IL 60693-0140
(919) 479-9993
(919) 479-9996
Mailing address
3901 N ROXBORO ST, SUITE 701, DURHAM, NC 27704-2181
(919) 479-9993
(919) 479-9996

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9300184
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8948653
NC
Enumeration date
09/17/2006
Last updated
07/08/2007
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