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Individual
THOMAS NEIDLINGER
Active
Individual
THOMAS NEIDLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN036652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131148
BCBSM
MI
05
—
101633260
—
MI
01
—
16334
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
02/28/2006
Last updated
10/28/2011
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