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Individual

DOUGLAS BEERNINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
440 CRAGMONT CT, CAMERON PARK, CA 95682-8162
(530) 672-8780
Mailing address
PO BOX 2030, FOLSOM, CA 95763-2030
(530) 672-8780

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A23433
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A234330
CA
Enumeration date
11/01/2006
Last updated
10/29/2008
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