| |
1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 | |
(206) 842-5632 | |
(206) 842-5992 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 1344 Wintergreen Ln Ne, Bainbridge Island, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1730237942 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 741515, Los Angeles, CA 90074-1515 Ph: (206) 515-5811 | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 Ph: (206) 842-5632 |