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Individual
REDDOG EITIG SINA
Active
Individual
REDDOG EITIG SINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101018078
MI
207Q00000X
Family Medicine Physician
5101018078
MI
Other
Enumeration date
07/02/2009
Last updated
06/27/2023
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