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Individual
STEFAN T MAKSYMIW
Active
Individual
STEFAN T MAKSYMIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9789
NC
225100000X
Physical Therapist
Primary
P9789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079PP
BCBSNC
NC
Enumeration date
07/06/2006
Last updated
09/15/2026
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