Individual
DAVID A WADA
Active
Individual
DAVID A WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
50181
MN
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
5558245-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
5558245-1205
UT
207ZP0104X
Chemical Pathology Physician
5558245-1205
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
103224
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440937100
—
MN
01
—
P00839042
MEDICARE, RAILROAD
MN
Enumeration date
05/29/2007
Last updated
05/26/2023
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