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Individual

CARL BOESEL

Active
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Individual

CARL BOESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
35029325B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000229250
BCBS
OH
05
0782274
OH
01
7065005
AETNA
Enumeration date
12/01/2005
Last updated
01/26/2015
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