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Individual

CATHERINE R MENDLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24495
NE
2085R0202X
Diagnostic Radiology Physician
35498
AZ
2085R0202X
Diagnostic Radiology Physician
37853
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01085
BCBS NE
NE
Enumeration date
06/01/2007
Last updated
02/01/2010
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