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Individual
TATIANA MASYK
Active
Individual
TATIANA MASYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.072419
OH
207Q00000X
Family Medicine Physician
Primary
4301069338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491867
ANTHEM
—
01
—
03605
PARAMOUNT
MI
01
—
0804610531
BCBS
MI
01
—
117183
CARE CHOICES
MI
01
—
117183
GLHP
—
05
—
2722265
—
OH
05
—
4623463
—
MI
05
—
4917088
—
MI
01
—
5418586
AETNA
—
01
—
6088
HPM
—
01
—
P00343617
RRMC
—
Enumeration date
07/22/2005
Last updated
08/04/2023
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