DR. DALE LEE MOLITERNO DO NPI 1043495039

NPI Information

NPI: 1043495039
Provider Name: DR. DALE LEE MOLITERNO, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
501 LAPEER
SAGINAW, MI
ZIP 48607
Phone: (989) 759-6300
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DR. Dale Lee Moliterno, DO is a general practice in Saginaw, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Dale Lee Moliterno, DO NPI is 1043495039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 LAPEER
SAGINAW, MI
ZIP 48607-208
Phone: (989) 759-6300
Fax: (989) 759-6454

The enumeration date for this NPI number is 1/8/2008 and was last updated on 2/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		5101007489	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043495039	OTHER	MICHIGAN	MOLINA HEALTHCARE OF MICHIGAN
2	381908328	OTHER	MICHIGAN	PRIORITY HEALTH
3	381908328	OTHER	MINNESOTA	HCAP
4	180962	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN/UNITED HEALTHCARE
5	1058377	OTHER	MICHIGAN	MCLAREN HEALTH PLAN OF MICHIGAN
6	G36111-121	MEDICARE PIN	MICHIGAN
7	070G310660	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
8	080G310660	OTHER	MICHIGAN	BLUE CARE NETWORK OF MICHIGAN
9	58146	OTHER	MINNESOTA	HEALTHPLAN OF MICHIGAN
10	381908328-464	OTHER	MINNESOTA	CARE SOURCE OF MICHIGAN
11	0157313895	OTHER	MICHIGAN	HEALTH PLUS OF MICHIGAN
12	E25719	MEDICARE UPIN	MICHIGAN
13	1043495039	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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