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Individual
JOHN ALLEN WAREHAM
Active
Individual
JOHN ALLEN WAREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01041622
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2015-01017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217930
—
IN
Enumeration date
09/13/2006
Last updated
02/20/2023
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