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Individual
DR. GENE CAICCO
Active
Individual
DR. GENE CAICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
GC001745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383523897
PPOM
MI
05
—
4246887
—
MI
01
—
5901001745
BCBSM
MI
Enumeration date
07/26/2005
Last updated
10/27/2011
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