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Individual

CHRISTOPHER L DEWESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20192
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801215000
WV
05
2205689
OH
05
64025638
KY
Enumeration date
04/12/2006
Last updated
12/02/2021
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