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Individual

ANNETTE M DINNEEN

Active
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Individual

ANNETTE M DINNEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01042219
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084544
BLUE CROSS BLUE SHIELD OF
IL
01
000000084544
UNICARE
01
024440
SIHO SOUTHEASTERN IN HEAL
01
193523
ONE HEALTH PLAN
01
258635
HEALTHLINK
01
351494388
TRICARE NORTH REGION
01
430810
AETNA
01
P00283868
RAILROAD MEDICARE
Enumeration date
10/04/2006
Last updated
02/07/2014
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