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Individual
DR. STEPHEN J. MILBACK
Active
Individual
DR. STEPHEN J. MILBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A68585
CA
207Q00000X
Family Medicine Physician
Primary
MD431227
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018878330001
—
PA
01
—
1007307260034
MEDICAID GROUP #
PA
05
—
102027294 0001
—
PA
01
—
120420409
DEPT OF LABOR
PA
01
—
1710048
AETNA HMO
PA
01
—
1831119221
CAPITAL BLUECROSS
PA
01
—
2169007
MAMSI
PA
01
—
225564
UNISON
PA
01
—
25-1716306
FIRST HEALTH
PA
01
—
728028
HEALTH AMERICA
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
913162-01
CAREFIRST MD
PA
01
—
9563094
AETNA NON-HMO
PA
01
—
MD431227
LICENSE
PA
01
—
MI985611
HIGHMARK BLUESHIELD
PA
01
—
P00421647
RAILROAD MEDICARE
PA
01
—
P009306
GATEWAY
PA
01
—
U811-0009
CAREFIRST DC
PA
Enumeration date
01/04/2006
Last updated
03/07/2023
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