Individual
JOEL DAVID RICHNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 SIERRA COLLEGE DR, STE 200, GRASS VALLEY, CA 95945-5081
(530) 477-0893
(530) 477-1450
Mailing address
10556 COMBIE RD, #6439, AUBURN, CA 95602-8908
(530) 268-4664
(530) 268-4666
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A81839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A81839
BLUE CROSS
CA
01
—
P00037063
MEDICARE RR
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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