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Individual
JOHN M MCILDUFF
Active
Individual
JOHN M MCILDUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
JM045495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108141
HEALTHPLUS OF MICHIGAN
MI
01
—
0202508141
BC/BS OF MICHIGAN
MI
01
—
105269
CARE CHOICE HMO
MI
01
—
113646
GREAT LAKE HEALTH PLAN
MI
05
—
1430955
—
MI
01
—
204105
MCLAREN HEALTH PLAN/ADVAN
MI
01
—
382237803109
COMMUNITY CHOICE
MI
01
—
4294624
AETNA
MI
01
—
B43079
HEALTH ALLIANCE PLAN
MI
01
—
C3731
M-CARE
MI
Enumeration date
01/31/2006
Last updated
11/27/2007
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