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Individual

COLLEEN M. DARGIE

Active
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Individual

COLLEEN M. DARGIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
053181
MI
207L00000X
Anesthesiology Physician
Primary
4301053181
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273660010
MI
01
700H262180
BLUE CROSS-BLUE CROSS
01
CD053181
CHAMPUS-CHAMPUS
Enumeration date
11/17/2006
Last updated
10/24/2022
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