Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY MICHAEL BOLDUAN, MD
Active Sole ProprietorJERRY MICHAEL BOLDUAN, MD is a General Practice healthcare provider located in SEBASTOPOL, California. NPI 1396043758 is currently active in the NPPES registry. Verify at CMS.
General Practice · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1396043758
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2011 (15.467333434839 yrs)
- Last Updated
- Mar 9, 2011
- License
-
G032312 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10450 CHERRY RIDGE RDSEBASTOPOL, CA, 954729028Browse CA providers · Browse ZIP 95472
- Phone
- 7078235583
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in SEBASTOPOL, CA
| Name | Credential | NPI |
|---|---|---|
| E CARLISLE HOLLAND | D.O. | 1376570077 |
| ROBERT BRUCE DOZOR | M.D. | 1548314446 |
| DR. KAY WEINSHIENK | D.O. | 1124165220 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.