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Individual
MICHAEL JAMES WALDRON
Active
Individual
MICHAEL JAMES WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E1165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114577301
—
TX
01
—
220006857
RAILROAD MEDICARE
TX
01
—
80P362
BCBS
TX
Enumeration date
08/03/2006
Last updated
02/23/2017
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