Organization
ERIC W. JAHNKE MD INC
Active
Organization
ERIC W. JAHNKE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILLIAM JAHNKE M.D. (PRESIDENT)
(805) 922-6991
Entity
Organization
Contact information
Practice address
1311 S MILLER ST, SUITE 101, SANTA MARIA, CA 93454-6900
(805) 922-6991
Mailing address
1311 S MILLER ST, SUITE 101, SANTA MARIA, CA 93454-6900
(805) 922-6991
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G40086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G400860
—
CA
01
—
100000707
RAILROAD MEDICARE
GA
Enumeration date
10/24/2007
Last updated
05/07/2008
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