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Individual
MICHAEL J CONKLIN
Active
Individual
MICHAEL J CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17564
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000085351
BLUE CROSS
AL
05
—
000085351
—
AL
05
—
009932087
—
AL
05
—
009996775
—
AL
01
—
0123411
MISSISSIPPI MEDICAID
MS
01
—
051528498
BLUE CROSS
AL
01
—
051529348
BLUE CROSS
AL
01
—
110723997A
GEORGIA MEDICAID
AL
01
—
F64351
VIVA
AL
Enumeration date
06/13/2006
Last updated
08/16/2013
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