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Individual
DR. WYNN A PERLICK
Active
Individual
DR. WYNN A PERLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2053
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002053
TUFTS MEDICARE PREFERRED
—
01
—
042297845
GREAT WEST HEALTH CARE
—
01
—
043376631
GIC
—
01
—
0620074
AETNA
—
01
—
1215062
FALLON
—
01
—
27 00004
UNITED HEALTH CARE
—
01
—
334257
HARVARD PILGRIM
—
01
—
33917
HARVARD PILGRIM
—
01
—
5297190
AETNA
—
01
—
Y71014
BLUE CROSS
MA
01
—
Y77182
BLUE CROSS
MA
Enumeration date
10/13/2006
Last updated
10/13/2011
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