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Individual
DEAN A DEWALD
Active
Individual
DEAN A DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47320
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456D9DE
BLUE CROSS
MN
01
—
4993021
BLUE CROSS
SD
05
—
5707290
—
SD
05
—
642697200
—
MN
05
—
S101893
—
SD
Enumeration date
02/09/2006
Last updated
05/12/2020
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