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Individual
MS. TAMARA MARIE WHITAKER BAY
Active
Individual
MS. TAMARA MARIE WHITAKER BAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TW002034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2730125
UHC IBA
—
05
—
4685152
—
MI
01
—
480C912300
BCBSM
—
01
—
522456150
TRICARE
—
01
—
7287715
AETNA
—
Enumeration date
03/14/2006
Last updated
09/09/2008
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