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Individual

DR. BARRY MICHAEL NEMROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1223 GRANT AVE, SUITE D, NOVATO, CA 94945-3157
(415) 897-7187
(415) 897-7938
Mailing address
1223 GRANT AVE, SUITE D, NOVATO, CA 94945-3157
(415) 897-7187
(415) 897-7938

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2585
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E25851
CA
01
0270980001
MEDICARE CIGNA NOW NOR
CA
01
480025698
MEDICARE RAILROAD
CA
01
NE1200
AETNA
CA
Enumeration date
05/26/2006
Last updated
12/14/2021
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