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Individual

STEPHEN R SELINGER

Active
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Individual

STEPHEN R SELINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0028717
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0028717
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008 E554
BLUE CHOICE/FEP
MD
01
290008371
RAILROAD MEDICARE
05
316851400
MD
01
331270
UNITEDHEALTHCARE
01
345804
MAMSI
01
42071810 420A
BLUE SHIELD
MD
01
4800052
UNITEDHEALTHCARE MCO
Enumeration date
10/04/2006
Last updated
08/28/2012
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