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DR. MICHELLE BRINKOP MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1326020884

Individual Registrant:
DR. MICHELLE  BRINKOP MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13161 JEFFERSON ST  LE GRAND, CA 95333-9766 US
Tel: 209-389-1900  Fax: 209-389-1907

Contact information for business:
737 W CHILDS AVE  MERCED, CA 95341-6805 US
Tel: 209-383-1848  Fax: 209-384-3966

Registration Information:
NPI: 1326020884
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA75141

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE SHIELD OF CA PIN00A751410CA01
DEA CERT #BB8104995CA01
00A751410CA05




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