Individual
ANNA M JUERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 Q ST FL 3, SACRAMENTO, CA 95816-7058
(916) 733-3304
(916) 733-3436
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
53008
WI
207N00000X
Dermatology Physician
Primary
C155156
CA
207NP0225X
Pediatric Dermatology Physician
53008
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467654673
—
WI
Enumeration date
06/01/2007
Last updated
02/14/2020
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