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Individual

DANIEL JAMES GUILLAUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD26718
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39296
WELLMARK BCBS
IA
Enumeration date
09/06/2005
Last updated
10/30/2012
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