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Individual
MR. ROBERT NIXON HUTTINGA
Active
Individual
MR. ROBERT NIXON HUTTINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152915130
BLUE CROSS # FOR GMC
MI
Enumeration date
07/19/2006
Last updated
03/04/2009
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