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Individual
DR. MICHAEL J STAR
Active
Individual
DR. MICHAEL J STAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E85482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G611670
CIGNA DME
CA
05
—
00G611670
—
CA
01
—
G61167
LICENSE
CA
Enumeration date
06/13/2006
Last updated
11/25/2008
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