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Individual

MISS KRISTIN DIANE WODZINSKI ANDREAE

Active
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Individual

MISS KRISTIN DIANE WODZINSKI ANDREAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011205
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E20057
BCBS GROUP PT
MI
01
0E20191
BCBS INDIVIDUAL
MI
Enumeration date
03/07/2007
Last updated
06/02/2016
About Stedi
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  • Eligibility checks
  • EDI platform