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NPI Code Detail

MEDICARE: DR. EDWARD ADRIAN DAUER M.D.

MEDICARE: DR. EDWARD ADRIAN DAUER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianME 26873FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225026263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD ADRIAN DAUER M.D.
Provider Business Mailing Address
First Line : 4850 W OAKLAND PARK BLVD
Second Line : SUITE 145
City : LAUDERDALE LAKES
State : FL
Zip : 33313-7260
Country : US
Telephone Number : 954-739-0978
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1503
Country : US
Telephone Number : 954-739-0978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 09/02/2010

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