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Individual
WILLIAM P MANSFIELD
Active
Individual
WILLIAM P MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
G63334
CA
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
G63334
CA
2085R0202X
Diagnostic Radiology Physician
35.079417
OH
2085R0202X
Diagnostic Radiology Physician
Primary
G63334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196899
ANTHEM BCBS
OH
05
—
2244217
—
OH
01
—
300121591
RAILROAD MEDICARE
OH
Enumeration date
03/16/2006
Last updated
03/18/2014
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