| NPI | 1316249907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE BROERS Md 425-255-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00032726) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO00000396) |
| 363L00000X Nurse Practitioner (Licence: WA AP30004306) | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |