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Individual

MICHAEL R PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000118
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232299
UNISON
OH
01
000000515971
ANTHEM
OH
01
0583328
BCMH
OH
05
2739219
OH
01
415019
WELLCARE MEDICAID
OH
01
7819952
AETNA
OH
01
P00802872
MEDICARE RAILROAD
OH
Enumeration date
07/26/2006
Last updated
06/04/2013
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