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Individual

OLE DIERKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6044 COLLEGE AVE, APT. A, OAKLAND, CA 94618-1373
(773) 332-8442
Mailing address
6044 COLLEGE AVE, APT. A, OAKLAND, CA 94618-1373
(773) 332-8442

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A93901
CA

Other

Enumeration date
06/10/2006
Last updated
11/14/2012
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