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Individual
MR. MICHAEL ROBERT PEFFER
Active
Individual
MR. MICHAEL ROBERT PEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5732069
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/14/2006
Last updated
09/28/2017
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