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Individual
MR. MICHAEL E FURDA
Active
Individual
MR. MICHAEL E FURDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004752
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203267955
TAX ID
—
05
—
2650108
—
OH
01
—
536080
GROUP BCBS NUMBER
OH
01
—
536082
INDIVIDUAL BCBS
OH
01
—
699738
ANTHEM BC/BS
OH
01
—
732344
HEALTH ASSURANCE
—
Enumeration date
03/21/2007
Last updated
07/16/2013
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