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Individual

DR. MICHAEL NEIL FINE

Active
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Individual

DR. MICHAEL NEIL FINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000679
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083821904
GROUP NPI NUMBER
MO
01
22440035
BCBS
MO
05
308093905
MO
01
480033263
MEDICARE RAILROAD
MO
Enumeration date
06/28/2006
Last updated
07/30/2014
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