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Individual

SERGE DJUKIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 ORANGEBURG AVE, STE 675, PMB 246, MODESTO, CA 95355-3379
(209) 222-7342
Mailing address
2401 ORANGEBURG AVE, STE 675, PMB 246, MODESTO, CA 95355-3379
(209) 222-7342

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
39389
WA
2085R0202X
Diagnostic Radiology Physician
Primary
A51055
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8270738
WA
Enumeration date
07/28/2005
Last updated
11/15/2013
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