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Individual
JOHN L DAMIANI
Active
Individual
JOHN L DAMIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
34012721
OH
208800000X
Urology Physician
Primary
5101010249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238703
—
OH
01
—
0E06273
BCBSM
MI
01
—
0H210660
BCBSM
MI
05
—
4265480
—
MI
01
—
H592500
MEDICARE PIN
OH
Enumeration date
01/30/2006
Last updated
11/03/2023
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