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Individual
DR. DONALD F MOYLAN
Active
Individual
DR. DONALD F MOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301041177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3406334131
BCBSM INDIVIDUAL ID
MI
01
—
34104505
RAILROAD MEDICARE
MI
01
—
4366812
AETNA
MI
05
—
4973523
—
MI
01
—
A77372
HAP
MI
01
—
C5868
MCARE
MI
01
—
DM041177
BCBSM OTHER IDENTIFIER
MI
Enumeration date
11/21/2005
Last updated
07/14/2007
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