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Individual

DANIEL J DEFREECE

Active
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Individual

DANIEL J DEFREECE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19499
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00812
BCBS
NE
01
—
01-06554
UHC
NE
05
—
10025323000
—
NE
05
—
100254400 00
—
NE
05
—
3935866
—
IA
01
—
4998
MIDLAND'S CHOICE
NE
Enumeration date
08/03/2006
Last updated
03/08/2018
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