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Individual
MR. FRITZ R MICHEL
Active
Individual
MR. FRITZ R MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036039008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036039008 / 04
—
IL
Enumeration date
12/07/2005
Last updated
03/02/2010
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