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Individual
MR. ALAN JOSEPH HIMMELSBACH
Active
Individual
MR. ALAN JOSEPH HIMMELSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP007748
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007748
PA
Other
Enumeration date
01/24/2006
Last updated
11/08/2022
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