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Individual

VLADA GROYSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28104
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051049792
BCBS
AL
01
051101170
BCBS
AL
01
051599997
BCBS
AL
01
051599998
BCBS
AL
05
06552712
MS
05
112213
AL
05
112217
AL
05
112220
AL
05
115058
AL
01
P00812369
RAILROAD MEDICARE
AL
Enumeration date
05/09/2007
Last updated
02/27/2023
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