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Individual
DR. ROBERT MILES CHISHOLM III
Active
Individual
DR. ROBERT MILES CHISHOLM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
22563
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080185221
RAILROAD MEDICARE
—
05
—
100108500B
—
OK
Enumeration date
08/21/2006
Last updated
09/10/2010
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