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Individual
MARK ALAN SCHICKLER
Active
Individual
MARK ALAN SCHICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001931
HEALTHNET
—
01
—
030000174CT02
BLUE SHIELD
—
05
—
4070447
—
CT
01
—
567628
AETNA
—
Enumeration date
08/31/2006
Last updated
10/01/2008
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