David A Wada
Dermatologist
200 1st St Sw
Rochester
, Minnesota 55905-0001
David A Wada
Dermatologist
200 1st St Sw
Rochester
, Minnesota 55905-0001
(801) 587-6346
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- David A Wada
- 50 N Medical Dr
- Salt Lake City, UT
- Zip : 84132-0001
- Fax : (801) 587-6346
- Phone : (801) 587-6340
Second Address
- David A Wada
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 50181 | MN |
National Provider Identifier
| NPI | 1043411168 |
|---|---|
| Provider Name | David A Wada |
| First Address | Salt Lake City, UT 84132-0001 |
| Second Address | Rochester, MN 55905-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2007 |
| Last Update Date | 16/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 440937100 | (05) | MN |
| P00839042 | MEDICARE, RAILROAD (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.