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Individual
DR. MICHAEL ANDREW DEKORTE
Active
Individual
DR. MICHAEL ANDREW DEKORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00247
OR
213ES0131X
Foot Surgery Podiatrist
DP00247
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056981
—
OR
01
—
1297890041
CIGNA (DMERC)
OR
01
—
480029243
RAILROAD MEDICARE
OR
Enumeration date
09/27/2006
Last updated
01/05/2021
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