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Individual
DANIEL J DETERMAN
Active
Individual
DANIEL J DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
571
NE
363AM0700X
Medical Physician Assistant
571
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24390
MIDLAND'S CHOICE
NE
01
—
37893
BCBS
NE
Enumeration date
08/30/2006
Last updated
11/28/2016
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