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Individual
MR. MARC WILLIAM HINZE
Active
Individual
MR. MARC WILLIAM HINZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011803
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155812
GREAT LAKES HLTH PLAN
—
01
—
650C901900
BCBS
MI
01
—
7173604
AETNA PIN
—
Enumeration date
06/07/2006
Last updated
01/07/2011
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