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Individual
ODUAH DANIEL OSARO
Active
Individual
ODUAH DANIEL OSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
31351
IA
202C00000X
Independent Medical Examiner Physician
31351
IA
207Q00000X
Family Medicine Physician
Primary
31351
IA
207QA0401X
Addiction Medicine (Family Medicine) Physician
31351
IA
261QU0200X
Urgent Care Clinic/Center
31351
IA
Other
Enumeration date
07/06/2005
Last updated
02/10/2020
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