Statements: Wasemiller, James

Canonical ID: us-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressMedical Arts Clinic, 614 Dakota Ave W , Wahpeton, ND 58075engus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:descriptionMedicare Provider Number: N19575, N13045engus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:descriptionMedicaid Provider ID: 000012647engus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:id5bd0ad666cfacadb20233cc82b150fd95f3c2bc8engus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:nameWasemiller, Jamesengus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:npiCode1619995420engus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:sectorPain Management Doctorengus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-839f6efa63e0b36300f301129eb6cb8a9c44d90c
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