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Individual

DR. WILLIAM J SCHICKLER

Active
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Individual

DR. WILLIAM J SCHICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C10002658
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000097601
DE
01
0105929000
KEYSTONE HEALTH PLAN
PA
01
0105929000
DELAWARE VALLEY HMO
01
1404977
UMWA
01
510315372
TAX ID
01
510315372001
CHAMPUS
05
536400100
MD
05
7039905
NJ
01
C48770
BLUE CROSS
DE
01
C48770
MIDATLANTIC
Enumeration date
08/13/2006
Last updated
03/07/2013
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