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Individual
RANDY N GRINSPAN
Active
Individual
RANDY N GRINSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004787-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009707660010
PROMISE
PA
01
—
003305700
HIGHMARK BS
PA
01
—
0033057000
BS
PA
05
—
00970766
—
PA
01
—
30040006
KEYSTONE MERCY
PA
Enumeration date
10/03/2006
Last updated
04/29/2008
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