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Individual
NED BRODER HIRSCH
Active
Individual
NED BRODER HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3394419
—
MI
01
—
480023913
RAILROAD MEDICARE
MI
01
—
480F372880
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/22/2006
Last updated
05/09/2013
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