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Individual
SAMUEL JOSEPH MEADEMA
Active
Individual
SAMUEL JOSEPH MEADEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101031594
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032223
BCBS OF VA
VA
01
—
040000105
TRAILBLAZER HEALTH ENTERPRISES, LLC
VA
Enumeration date
05/24/2006
Last updated
10/10/2022
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