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Individual
MICHAEL WAYNE DEEDS
Active
Individual
MICHAEL WAYNE DEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10117
MN
363A00000X
Physician Assistant
1500540
KS
363A00000X
Physician Assistant
Primary
PA03575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454690A
—
KS
05
—
201289001
—
TX
01
—
8J89591YMAF
MEDICARE
TX
01
—
8Y2333
BCBS
TX
Enumeration date
07/28/2005
Last updated
03/11/2015
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