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Individual

DAVID MICHAEL WALBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
183082
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010185504
UNIVERA
01
000511107004
BLUE CROSS
NY
05
01257914
NY
01
071227000043
FIDELIS
01
1703730
IHA
Enumeration date
09/01/2006
Last updated
09/22/2022
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