THEODORE CRISOSTOMO-WYNNE

SEATTLE, WA
NPI1316486186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: WA  MD61305294)
Enumeration Date2017-02-14
Last Update Date2023-09-28
Business Address
THEODORE CRISOSTOMO-WYNNE
1959 NE PACIFIC ST.
SEATTLE, WA 98195-0001
Phone number: 206-520-5000
Mailing Address
THEODORE CRISOSTOMO-WYNNE
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: