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Individual
DR. DAVID RAY VILSACK
Active
Individual
DR. DAVID RAY VILSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001542L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004292912
AETNA
PA
05
—
0005031350012
—
PA
01
—
1503489
GATEWAY
PA
01
—
202304
UPMC
PA
01
—
40683
HEALTH AMERICA
PA
01
—
480020822
RAILROAD MEDICARE
PA
01
—
65298
MEDPLUS
PA
01
—
887857
BS
PA
Enumeration date
08/09/2005
Last updated
05/09/2008
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