Provider Demographics
NPI:1194787929
Name:TEMKIN, MICHAEL T (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:TEMKIN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1081 MARKET PL
Mailing Address - Street 2:#300
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4773
Mailing Address - Country:US
Mailing Address - Phone:925-866-3900
Mailing Address - Fax:925-866-3901
Practice Address - Street 1:1081 MARKET PL
Practice Address - Street 2:#300
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4773
Practice Address - Country:US
Practice Address - Phone:925-866-3900
Practice Address - Fax:925-866-3901
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6924207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH08067Medicare UPIN
CA020A69240Medicare ID - Type Unspecified