Individual
MR. RICHARD WAKEFIELD
Active
Individual
MR. RICHARD WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
H-0063
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24303
BLUE CROSS & BLUE SHIELD
ND
05
—
548065500
—
MN
05
—
57635
—
ND
01
—
7G771WA
BLUE CROSS & BLUE SHIELD
MN
Enumeration date
05/02/2008
Last updated
05/02/2008
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