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Individual
THEODORE DOUGLAS CHROBAK
Active
Individual
THEODORE DOUGLAS CHROBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05008296L
PA
207Q00000X
Family Medicine Physician
Primary
34006156C
OH
2083X0100X
Occupational Medicine Physician
05008296L
PA
2083X0100X
Occupational Medicine Physician
34006156C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080192335
RAILROAD MEDICARE
—
05
—
2080555
—
OH
Enumeration date
01/06/2006
Last updated
09/22/2008
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