Individual
PAUL S WASEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30844
MN
208600000X
Surgery Physician
Primary
5530
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05999WA
MNBS #
ND
01
—
10661
NDBS #
ND
01
—
142301
UCARE #
ND
05
—
15721
—
ND
01
—
1700498
MEDICA #
ND
01
—
25168
NDBS #
MN
01
—
27989
SIOUX VALLEY #
ND
01
—
2880
NDBS #
ND
05
—
327787900
—
ND
01
—
676675
AMERICA'S PPO/ARAZ #
ND
05
—
7764390
—
ND
01
—
DA9051027008
PREFERRED ONE #
ND
01
—
ND200111
LHS #
ND
Enumeration date
06/28/2006
Last updated
08/24/2011
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