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Individual

MICHEL W SKAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
428S DURBIN ST 104, CASPER, WY 82601-2818
(307) 337-4284
Mailing address
428S DURBIN ST 104, CASPER, WY 82601-2818
(307) 337-4283

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7159A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121557400
WY
01
20373
BCBS
WY
01
313774
BLUE SHIELD
WY
01
P00351461
RAILROAD MEDICARE
WY
Enumeration date
05/19/2006
Last updated
10/27/2015
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