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Individual
MICHAEL D ROHLA
Active
Individual
MICHAEL D ROHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5756T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14270305965
CEN CAL
CA
01
—
953295965
BLUE CROSS
CA
01
—
SCWI0
TRICARE
CA
05
—
SD0057560
—
CA
Enumeration date
11/15/2005
Last updated
10/01/2008
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