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Individual
MARY JO DREW
Active
Individual
MARY JO DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
MD27873
OR
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD27873
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325225310
—
MI
01
—
700H262270
BLUE CROSS-BLUE CROSS
—
01
—
MD067302
CHAMPUS-CHAMPUS
—
Enumeration date
01/08/2007
Last updated
08/26/2011
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