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Individual
PETER M MORIN
Active
Individual
PETER M MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18258
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00258
BCBS PROVIDER ID
NE
01
—
080028227
RAILROAD MC ID
NE
01
—
18258
NE STATE LICENSE
NE
05
—
47054632400
—
NE
Enumeration date
04/11/2006
Last updated
03/07/2023
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