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Individual

MICHAEL JERNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
Mailing address
10051 LAKE AVE, TRUCKEE, CA 96161-0445

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A145903
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A145903
CA

Other

Enumeration date
04/03/2015
Last updated
08/17/2021
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