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Individual
DR. MICAH BENJAMIN NAIMARK
Active
Individual
DR. MICAH BENJAMIN NAIMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0071272
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD188782
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029465
KAISER COMMERCIAL NUMBER
CO
05
—
500748258
—
OR
01
—
R203748
MEDICARE PTAN
OR
Enumeration date
03/26/2012
Last updated
09/05/2023
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