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NPI Code Detail

MEDICARE: DR. JAMES P WASEMILLER MD

MEDICARE: DR. JAMES P WASEMILLER MD
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
1208600000XSurgery Physician22972MN
2208600000XSurgery Physician12647ND

General Provider Information

NPI Number : 1619995420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES P WASEMILLER MD
Provider Business Mailing Address
First Line : 614 DAKOTA AVE
Second Line :
City : WAHPETON
State : ND
Zip : 58075-4300
Country : US
Telephone Number : 701-642-4471
Fax Number :
Provider Business Practice Location Address
First Line : 2400 ST FRANCIS DR
Second Line :
City : BRECKENRIDGE
State : MN
Zip : 56520-1025
Country : US
Telephone Number : 218-643-3000
Fax Number : 218-643-7502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES P WASEMILLER MD” Practice Location

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