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Individual
DR. TWILA J FICKEL
Active
Individual
DR. TWILA J FICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
212
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001591
BLUE CROSS BLUE SHIELD
SD
01
—
0148880001
DMERC
NE
01
—
02592
BLUE CROSS BLUE SHIELD
NE
05
—
47078919500
—
NE
05
—
6800072
—
SD
Enumeration date
05/23/2005
Last updated
07/08/2007
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