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Individual
JOSEPH GERARD PROEBSTLE
Active
Individual
JOSEPH GERARD PROEBSTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01059
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359218900
—
MD
01
—
455037358
TRICARE
MD
01
—
AC99
BLUE CHOICE
MD
01
—
CD0XJG
BLUE CROSS BLUE SHIELD
MD
01
—
DS9585
RAILROAD MEDICARE
MD
Enumeration date
07/13/2005
Last updated
03/30/2021
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