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Individual
ADAM PETER CALUSIC
Active
Individual
ADAM PETER CALUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66284
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000161435
HIGHMARK BLUE SHIELD
PA
05
—
0006805790004
—
PA
01
—
0038505000
BLUE SHIELD
—
05
—
100061643
—
WI
01
—
4663112
AETNA
PA
01
—
50051256
BLUE CROSS
—
01
—
O002395
GATEWAY
—
01
—
P00258005
RR MEDICARE
—
Enumeration date
06/29/2006
Last updated
11/29/2021
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