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Individual
MR. MICHAEL ALAN CEVASCO
Active
Individual
MR. MICHAEL ALAN CEVASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101535
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014UT
BCBS
NC
01
—
3103653
MAMSI
—
01
—
C6567
MEDCOST
—
Enumeration date
08/30/2006
Last updated
10/28/2020
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