NPI | 1669498036 |
---|---|
Former Legal Business Name | DR DWAIN W. RICKERTSEN, M.D. |
Entity Type | Organization |
Authorized Contact | DWAIN W RICKERTSEN President/Physician 530-751-1701 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A450730) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |