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Individual
WAYNE JULIUS ANDERSON
Active
Individual
WAYNE JULIUS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1344
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007482
WELLMARK BCBS
SD
01
—
1344
DAKOTA CARE
SD
Enumeration date
06/29/2006
Last updated
07/08/2007
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