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Individual

DR. DALE LEE MOLITERNO

Active
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Individual

DR. DALE LEE MOLITERNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007489
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157313895
HEALTH PLUS OF MICHIGAN
MI
01
—
070G310660
BLUE CROSS BLUE SHIELD
MI
01
—
080G310660
BLUE CARE NETWORK OF MICHIGAN
MI
01
—
1043495039
MOLINA HEALTHCARE OF MICHIGAN
MI
05
—
1043495039
—
MI
01
—
1058377
MCLAREN HEALTH PLAN OF MICHIGAN
MI
01
—
180962
GREAT LAKES HEALTH PLAN/UNITED HEALTHCARE
MI
01
—
381908328
PRIORITY HEALTH
MI
01
—
381908328
HCAP
MN
01
—
381908328-464
CARE SOURCE OF MICHIGAN
MN
01
—
58146
HEALTHPLAN OF MICHIGAN
MN
Enumeration date
01/08/2008
Last updated
02/25/2011
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