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Individual
KYLE A RASIKAS
Active
Individual
KYLE A RASIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301041661
MI
208M00000X
Hospitalist Physician
Primary
4301041661
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104100571
BCBS OF MICHIGAN
MI
01
—
38-2145264
IRS TAX ID# THRU CORP
—
05
—
4260170
—
MI
Enumeration date
08/24/2006
Last updated
05/17/2022
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