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Individual

RICHARD A ROVIN

Active
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Individual

RICHARD A ROVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301057445
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104957136
MI
05
104957145
MI
05
104957154
MI
01
140E210830
BLUE CROSS BLUE SHIELD MI
MI
05
2904124
MI
Enumeration date
01/19/2006
Last updated
12/13/2021
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