NPI age
19 years
Enumerated 2007-05-23
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | MC089288 | BCBSM |
| 01 (MI) | P00464537 | RAILROAD MEDICARE |
| 05 (MI) | 5212604 | |
| 01 (MI) | MC089288 | BCBS OF MICHIGAN |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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