Individual
MR. MICHAEL UNGEHEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN MN PHN
Contact information
Practice address
929 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6129
Mailing address
5550 DAISY DR, POLLOCK PINES, CA 95726-9433
(530) 621-6129
Taxonomy
Speciality
Code
Description
License number
State
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
423357
CA
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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