MEDICARE: DR. DOUGLAS WHITMER HERSHEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician	00G189620	CA

General Provider Information

NPI Number	:	1902987787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS WHITMER HERSHEY M.D.

Provider Business Mailing Address
First Line	:	1111 EXPOSITION BLVD
Second Line	:	SUITE 200
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4300
Country	:	US
Telephone Number	:	916-736-6888
Fax Number	:	916-779-3260

Provider Business Practice Location Address
First Line	:	1111 EXPOSITION BLVD
Second Line	:	SUITE 200
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4300
Country	:	US
Telephone Number	:	916-736-6888
Fax Number	:	916-779-3260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	06/16/2015

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