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Individual

DR. CHADWICK PAUL HUCKABAY

Active
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Individual

DR. CHADWICK PAUL HUCKABAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20977
MS
208800000X
Urology Physician
48147
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04509838
—
MS
05
—
0597914
—
IA
01
—
1044163
PREFERRED ONE
MN
01
—
132996
UCARE
MN
05
—
157409
—
AL
01
—
19-00018
MEDICA PRIMARY
MN
01
—
19-00700
MEDICA CHOICE
MN
01
—
2376915
ARAZ
MN
01
—
490K6HU
BCBS
MN
05
—
842988000
—
MN
01
—
HP54551
HEALTHPARTNERS
MN
01
—
P01227738
RR MCR
MS
Enumeration date
07/10/2006
Last updated
04/01/2014
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