Individual
MICHAEL A PACE
Active
Individual
MICHAEL A PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21148
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00765
UHC
NE
01
—
04203
BCBS
NE
05
—
0726315
—
IA
01
—
11244
MIDLAND'S CHOICE
NE
01
—
35448
BCBS
NE
05
—
91182900813
—
NE
Enumeration date
08/10/2006
Last updated
03/02/2021
Update your record
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