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Individual
MICHAEL B DURBIN
Active
Individual
MICHAEL B DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104046
NC
363AM0700X
Medical Physician Assistant
104046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00155286
RR MEDICARE
NC
Enumeration date
05/15/2006
Last updated
08/13/2021
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