Organization
SIERRA DERM INC.
Active
Organization
SIERRA DERM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WERNER MUELLENHOFF DO (OWNER)
(530) 272-2303
Entity
Organization
Contact information
Practice address
126 GLASSON WAY, GRASS VALLEY, CA 95945-5706
(530) 272-2303
(530) 272-9648
Mailing address
126 GLASSON WAY, GRASS VALLEY, CA 95945-5706
(530) 272-2303
(530) 272-9648
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A79040
CA
Other
Enumeration date
07/07/2006
Last updated
02/12/2013
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