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Individual
MR. MICHAEL JOHN BELIEW
Active
Individual
MR. MICHAEL JOHN BELIEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1654
SC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL1654
MEDICAL LICENSE
SC
Enumeration date
04/19/2011
Last updated
06/10/2011
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