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Individual

DR. JAMES P WASEMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 ST FRANCIS DR, BRECKENRIDGE, MN 56520-1025
(218) 643-3000
(218) 643-7502
Mailing address
614 DAKOTA AVE, WAHPETON, ND 58075-4300
(701) 642-4471

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12647
ND
208600000X
Surgery Physician
Primary
22972
MN

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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