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Individual
DR. MICHAEL P ONDICH
Active
Individual
DR. MICHAEL P ONDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006237L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007508360006
—
PA
01
—
1010616
GATEWAY
PA
01
—
13484
UMW
PA
01
—
203221
UPMC
PA
01
—
480354
AETNA
PA
01
—
534197
BLUE SHIELD
PA
Enumeration date
09/12/2005
Last updated
03/28/2008
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