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Individual
DAV WILLIAM BREMER
Active
Individual
DAV WILLIAM BREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
047246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013969
ANTHEM BCBS
OH
05
—
0483641
—
OH
01
—
0820057
UNITED HEALTHCARE
OH
Enumeration date
09/02/2006
Last updated
02/22/2008
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