Raymond J Mikelionis Md Inc | |
203 Grove St Roseville CA 95678-1519 | |
(916) 786-0222 | |
(916) 786-2479 |
Full Name | Raymond J Mikelionis Md Inc |
---|---|
Speciality | Family Medicine |
Location | 203 Grove St, Roseville, California |
Authorized Official Name and Position | Raymond Joltn Mikelionis (MD PRESIDENT OF CORPORATION) |
Authorized Official Contact | 9167860222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Raymond J Mikelionis Md Inc 203 Grove St Roseville CA 95678-1519 Ph: (916) 786-0222 | Raymond J Mikelionis Md Inc 203 Grove St Roseville CA 95678-1519 Ph: (916) 786-0222 |
NPI Number | 1972518603 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 05/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972518603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G21006 (California) | Primary |
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