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Individual

DR. MICHAEL A ELROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34008804
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000490751
BCBS-OH
01
000000823179
BCBS - ANTHEM PMG
OH
05
2702954
OH
01
311175717
TRICARE HEALTHNET
OH
01
311175717224
CARESOURCE
OH
01
421534506
HEALTHNET
OH
01
4515730
CIGNA
OH
01
7721889
AETNA
OH
01
P00478009
RAIL ROAD MEDICARE
OH
Enumeration date
07/08/2006
Last updated
01/12/2021
Update your record

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