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Individual
DR. TED ROBERT NAMAN
Active
Individual
DR. TED ROBERT NAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301068485
MI
208000000X
Pediatrics Physician
4301068485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106337422
BCBS IND
MI
05
—
1730156050
—
MI
Enumeration date
03/06/2006
Last updated
10/31/2019
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