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Individual
DR. MARC Y. AWADA
Active
Individual
DR. MARC Y. AWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49920
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-587-533-1
ECFMG
—
01
—
080015880
MEDICARE WPS - HOSPITAL
MN
01
—
080015881
MEDICARE WPS - AITKIN CLI
MN
01
—
080015882
MEDICARE WPS - MCGREGOR C
MN
01
—
080015883
MEDICARE WPS - GARRISON C
MN
05
—
996600100
—
MN
Enumeration date
06/06/2007
Last updated
07/20/2012
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