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Individual
ORSON DANIEL BANGERT
Active
Individual
ORSON DANIEL BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61194-21
WI
208M00000X
Hospitalist Physician
Primary
61194-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123545537
BCBSWI
WI
05
—
123545537
—
WI
01
—
BANGEORS
MERCYCARE INSURANCE
WI
Enumeration date
04/13/2010
Last updated
01/12/2015
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