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Individual

DAN S SCIUCA

Active
Find providers by NPI
Individual

DAN S SCIUCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078831
MI
208M00000X
Hospitalist Physician
Primary
4301078831
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G56008
MEDICARE GROUP
MI
01
—
1107500612
BCBS PIN
MI
01
—
143068
GREAT LAKES HEALTH PLAN-T
MI
01
—
382317300 107
COMM CHOICE MI-WP
MI
01
—
382317300 140
COMM CHOICE MI-IM
MI
01
—
382317300 154
COMM CHOICE MI-TR
MI
05
—
4347244 10
—
MI
05
—
4460009 10
—
MI
05
—
4601303 10
—
MI
05
—
4848285
—
MI
05
—
4938130 10
—
MI
01
—
700G560080
BCBS GROUP
MI
Enumeration date
11/16/2005
Last updated
04/28/2021
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