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Individual
DR. EUGENE E PROTZKO
Active
Individual
DR. EUGENE E PROTZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D34971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155131100
—
MD
01
—
53366001
CAREFIRST BLUEHSHIELD
MD
01
—
W2450001
FEDERAL BLUESHIELD
—
Enumeration date
06/01/2005
Last updated
06/02/2023
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