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Individual

DR. MARSHALL KEVIN MEDLEY

Active
Find providers by NPI
Individual

DR. MARSHALL KEVIN MEDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5101013769
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012192
CAPE HEALTH PLAN
MI
01
—
0007367710
AETNA
MI
01
—
141412
CARE CHOICES
MI
01
—
17178
MCARE
MI
05
—
4774341
—
MI
01
—
5821256
BLUE CROSS BLUE SHIELD
MI
01
—
P36227-F
BLUE CARE NETWORK
MI
01
—
U92085
PRIVATE HEALTH CARE SYSTE
MI
Enumeration date
09/25/2006
Last updated
11/17/2020
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