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Individual
ROGER A BIGELOW
Active
Individual
ROGER A BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801067695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H21692
BLUE CROSS
MI
01
—
1093940272
GROUP NPI HENRY FORD WYANDOTTE
—
01
—
6801067695
LICENSE
MI
01
—
P00113906
MEDICARE RAILROAD
MI
Enumeration date
01/02/2007
Last updated
02/21/2017
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