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Individual
MR. OLIVER C. PATALINGHUG
Active
Individual
MR. OLIVER C. PATALINGHUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024298
MIDWEST
MI
01
—
141317
CARE CHOICES
MI
05
—
4670561
—
MI
01
—
562474213
PPOM
MI
01
—
65-0-F3-6075-0
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/17/2006
Last updated
12/01/2008
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