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Individual
R. R. FLICKINGER JR.
Active
Individual
R. R. FLICKINGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17452-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800073
UNITED HEALTHCARE
WI
01
—
09235
HEALTH ALLIANCE
WI
01
—
31224700
ABRI
WI
05
—
31224700
—
WI
01
—
4016118
AETNA
WI
01
—
747042
MOHAWK
WI
01
—
822601
VIPA
WI
Enumeration date
04/26/2006
Last updated
09/18/2007
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