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Individual
MICHAEL PETER KARG
Active
Individual
MICHAEL PETER KARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-001720
IL
363A00000X
Physician Assistant
Primary
4644
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5993PA
—
SC
01
—
SCO661A7628
MEDICARE PIN
SC
Enumeration date
08/20/2006
Last updated
03/31/2023
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