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1154543932
BRENT E WISSE
SEATTLE, WA
NPI
1154543932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: WA MD00037414)
Enumeration Date
2007-05-02
Last Update Date
2012-01-12
Business Address
-- BRENT E WISSE MD
325 9TH AVE
SEATTLE, WA 98104-2420
Phone number: 206-731-3241
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Mailing Address
-- BRENT E WISSE MD
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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