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Individual
DR. ZACHARY D WASSMUTH
Active
Individual
DR. ZACHARY D WASSMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L5608
TX
207Y00000X
Otolaryngology Physician
Primary
L5608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3389220
AETNA
—
Enumeration date
02/13/2006
Last updated
05/02/2019
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