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Individual
MICHAEL JOHN FITE
Active
Individual
MICHAEL JOHN FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021945
MI
208D00000X
General Practice Physician
Primary
7246
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/01/2015
Last updated
08/20/2021
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