Individual
DR. JULIA PETTERSEN NECKMAN
Active
Individual
DR. JULIA PETTERSEN NECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
016521
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
79976
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2011
Last updated
05/09/2022
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