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Individual

DR. ROBERT H MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R9282
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200338705
MO
01
26925
MO BLUE SHIELD
MO
01
81578
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
05/09/2013
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