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Individual
JEANNIE MUIR
Active
Individual
JEANNIE MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21025
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000098625
BCBS
MT
05
—
0085272
—
MT
Enumeration date
07/26/2006
Last updated
07/21/2017
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