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Individual
DR. MICHAEL H. DE BOER
Active
Individual
DR. MICHAEL H. DE BOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19872
TN
207P00000X
Emergency Medicine Physician
46604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096096
—
TN
01
—
4091370
BLUE CROSS
TN
05
—
64043011
—
KY
01
—
930005254
RRGA
TN
Enumeration date
06/07/2006
Last updated
03/10/2023
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