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Individual

JORG FRIEDRICH DUNCKELMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4090
(775) 982-6271
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-6271

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9754
NV
207L00000X
Anesthesiology Physician
A53405
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11050726
CAQH #
NV
05
2018562
NV
Enumeration date
02/08/2006
Last updated
08/23/2022
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