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Individual
DR. WALDO AVELLO
Active
Individual
DR. WALDO AVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
127832
MT
207RG0100X
Gastroenterology Physician
Primary
45321
MN
207RG0100X
Gastroenterology Physician
EMC0005005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100017212
MEDICARE RR
MN
05
—
527402800
—
MN
Enumeration date
05/10/2006
Last updated
07/09/2024
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