Organization Name: | MICHAEL J. KWIKER D.O. INC |
NPI Number: | 1427063114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J. KWIKER (PRESIDENT) |
Mailing Address: | 3301 Alta Arden Expy Suite 3 Sacramento |
State: | CA US |
Postal Code: | 958252121 |
Phone Number: | 9164894400 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | CA#20A-3637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |