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Individual
ILANA B KUTINSKY
Active
Individual
ILANA B KUTINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
35340
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
5101015554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060070669
MEDICARE RAILROAD
MI
01
—
0656308955
BLUE CROSS BLUE SHIELD OF MI
MI
05
—
4475763
—
MI
Enumeration date
11/04/2005
Last updated
10/23/2020
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