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Individual

JAMES MITTELBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6155 GIRVIN DR, OAKLAND, CA 94611-2444
(510) 387-0585
(510) 291-2970
Mailing address
6155 GIRVIN DR, OAKLAND, CA 94611-2444
(510) 387-0585
(510) 291-2970

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G58513
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G585130
CA
Enumeration date
08/08/2006
Last updated
11/10/2010
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