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Individual
REUBEN DWAYNE ELIUK
Active
Individual
REUBEN DWAYNE ELIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101007332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P17110
GROUP PIN
MI
05
—
1205987724
—
MI
01
—
1235131137
BCBS - BLH
MI
01
—
1417961137
BCBS BRONSON
MI
05
—
4754124
—
MI
01
—
P17110001
MEDICARE PROVIDER NUMBER
MI
Enumeration date
01/12/2007
Last updated
11/27/2023
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