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Individual
DR. MICHAEL AUBREY SHANHOLTZER
Active
Individual
DR. MICHAEL AUBREY SHANHOLTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60010777
BLUE CROSS/SECOND OFFICE
IL
01
—
60201194
BLUE CROSS/PRIMARY OFFICE
IL
Enumeration date
09/01/2006
Last updated
06/18/2013
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