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Individual

DR. RICHARD A MANNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036069849
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01634499
BCBS
IL
05
0360698491
IL
Enumeration date
11/11/2005
Last updated
06/11/2014
Update your record

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