Individual
DR. AARON A VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
68329
MN
207R00000X
Internal Medicine Physician
12920
ND
208M00000X
Hospitalist Physician
12920
ND
208M00000X
Hospitalist Physician
Primary
68329
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12920
ND LICENSE
ND
01
—
4301092629
PHYSICIANS EDUCATIONAL LIMITED LICENSE
MI
01
—
5315036932
PHARMACY
MI
Enumeration date
06/22/2008
Last updated
03/07/2023
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