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Individual

DR. ROBERT LEVINE

Active
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Individual

DR. ROBERT LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301028862
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106 4639
MI
01
20-2638752-2
BSBSM PIN
MI
01
2407363
CIGNO PROVIDER NUMBER
MI
Enumeration date
06/07/2006
Last updated
07/08/2007
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