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Individual

DANE L MALTSBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRT, RRT

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30008751A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30008751A
RESPIRATORY CARE PRACTITIONER LIC
IN
Enumeration date
09/28/2016
Last updated
09/28/2016
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