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Individual
DAVID MICHAEL SORTISIO
Active
Individual
DAVID MICHAEL SORTISIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147027400
WORKERS COMPENSATION
MD
01
—
M14853294701R504001
CAREFIRST BCBS
MD
Enumeration date
10/27/2006
Last updated
10/27/2008
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