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Individual

PAUL KOCHERIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8490
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8490

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
PK066426
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548298375
MI
01
320Z901020
BLUE CROSS
MI
01
320Z910000
BLUE CROSS
MI
05
4258108
MI
Enumeration date
06/29/2006
Last updated
01/10/2017
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