Individual
MICHAEL CILIMBERG
Active
Individual
MICHAEL CILIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA989
AL
363LF0000X
Family Nurse Practitioner
PA0621
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171889
—
AL
01
—
511-61135
BCBS OF AL
AL
Enumeration date
05/29/2007
Last updated
08/17/2015
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