Individual
DR. JOHN WILLIAM DIRCKS
Active
Individual
DR. JOHN WILLIAM DIRCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
JD028898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108097
GRT LAKES HLTH PLAN
—
05
—
1386445
—
MI
01
—
290390908
BCBS IND PIN
—
01
—
290C913410
BCBS GRP PIN
—
01
—
290C96034
BC/BS OF MICHIGAN
MI
01
—
382356205105
COMMUNITY CHOICE OF MICH
MI
01
—
4379449
AETNA
—
01
—
4809116
PHP
—
01
—
4830033
PHP
MI
05
—
4991610
—
MI
01
—
P54696
BLUECARE NETWORK
MI
Enumeration date
09/12/2006
Last updated
09/11/2009
Update your record
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