Individual
DR. PAULINE D WATSON
Active
Individual
DR. PAULINE D WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS012699
PA
207RC0000X
Cardiovascular Disease Physician
Primary
5101019088
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619147253
—
MI
Enumeration date
03/11/2008
Last updated
03/26/2021
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