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Individual

RAYNA MARSHA DYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD33561
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00030002140
UNITED HEALTHCARE
AL
01
102I072955
MEDICARE
AL
01
1669989
CIGNA HEALTHSPRINGS
AL
01
51158160
BCBS
AL
Enumeration date
04/09/2009
Last updated
07/14/2015
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