Provider Demographics
NPI:1619125481
Name:TUERK, MELANIE JANE (MD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:JANE
Last Name:TUERK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3301 C ST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3300
Mailing Address - Country:US
Mailing Address - Phone:916-734-6371
Mailing Address - Fax:916-442-5702
Practice Address - Street 1:3301 C ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3300
Practice Address - Country:US
Practice Address - Phone:916-734-6371
Practice Address - Fax:916-442-5702
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA105442207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA105442OtherCA MEDICAL LICENSE