Individual
R. R. FLICKINGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17452-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800073
UNITED HEALTHCARE
WI
01
—
09235
HEALTH ALLIANCE
WI
01
—
31224700
MANAGED HEALTH SERVICES
WI
05
—
31224700
—
WI
01
—
4016118
AETNA
WI
01
—
747042
MOHAWK
WI
01
—
822601
VIPA
WI
Enumeration date
04/26/2006
Last updated
09/18/2007
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