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Individual
SCOTT C KASTNING
Active
Individual
SCOTT C KASTNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852900280
BCBSM
MI
01
—
1063846
MCLAREN
MI
01
—
1063847
MCLAREN
MI
01
—
5601005830
PA LICENSE
MI
Enumeration date
07/26/2010
Last updated
09/06/2012
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