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Individual

ALAN R SCHENK

Active
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Individual

ALAN R SCHENK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G46010
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G460101
BLUE SHIELD OF CALIFORNIA
CA
01
330124860
MOST OF THE CARRIERS
CA
Enumeration date
09/07/2005
Last updated
09/18/2012
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