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Individual
DR. JOHN ANDREW WASSUM
Active
Individual
DR. JOHN ANDREW WASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
32766LL
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
32766LL
SC
Other
Enumeration date
06/21/2010
Last updated
11/11/2021
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