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Individual
DR. WILLIAM MANN WILSHIRE IV
Active
Individual
DR. WILLIAM MANN WILSHIRE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
103
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002571
BCBS
MT
01
—
000082949
MEDICARE GROUP
MT
05
—
0390337
—
MT
01
—
480027217
RAILROAD MEDICARE
—
Enumeration date
10/05/2006
Last updated
05/22/2014
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