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Individual

DR. WAFA MW AL-DHAHIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(800) 475-6236
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35073641A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2136094
OH
Enumeration date
03/24/2006
Last updated
05/06/2021
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