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Individual
MICHAEL DAVID CARDINAL
Active
Individual
MICHAEL DAVID CARDINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.002393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135416
ANTHEM
OH
01
—
00322
PARAMOUNT
OH
05
—
0696733
—
OH
Enumeration date
07/19/2005
Last updated
02/12/2010
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