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Individual

CAITLIN RENAE PATTEN

Active
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Individual

CAITLIN RENAE PATTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2015-00411
NC
208600000X
Surgery Physician
56353
WI
2086X0206X
Surgical Oncology Physician
Primary
56353
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124342761
NC
05
NC2412
SC
Enumeration date
03/25/2010
Last updated
07/05/2016
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