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Individual
MR. DENNIS A TRANTUM
Active
Individual
MR. DENNIS A TRANTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000142
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540A30601
BLUE CROSS
MI
Enumeration date
11/30/2006
Last updated
07/08/2007
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