Individual
DR. PAUL MICHAEL NERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
(916) 871-6712
(530) 621-7707
Mailing address
3476 BUENA VISTA DR, SHINGLE SPRINGS, CA 95682-8813
(916) 502-1781
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
12102
WV
207QA0401X
Addiction Medicine (Family Medicine) Physician
C1-0004019
DE
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G35504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080180953
RAILROAD MEDICARE
CA
Enumeration date
10/06/2006
Last updated
11/19/2021
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