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Individual
DR. DENISE DEBRA DEWALD
Active
Individual
DR. DENISE DEBRA DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.129610
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
35.143654
OH
208000000X
Pediatrics Physician
036.129610
IL
2080S0012X
Pediatric Sleep Medicine Physician
35.143654
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.246006
OH
Other
Enumeration date
01/24/2008
Last updated
11/03/2023
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