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Individual

MICHAEL J QUALEY

Active
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Individual

MICHAEL J QUALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33174
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0203521
IA
01
14604
BLUE CROSS
IA
Enumeration date
05/31/2006
Last updated
02/09/2023
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