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Individual
THOMAS AUSTIN MELGAR
Active
Individual
THOMAS AUSTIN MELGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
430152330
MI
208000000X
Pediatrics Physician
4301052330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3503902561
BCBS
—
05
—
4195302
—
MI
Enumeration date
03/17/2006
Last updated
05/24/2012
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