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1356457063
MARK DAVID DERLETH
SEATTLE, WA
NPI
1356457063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: WA MD 60022504)
Enumeration Date
2006-08-23
Last Update Date
2014-03-18
Business Address
-- MARK DAVID DERLETH M.D.
1959 NE PACIFIC ST BOX 356424
SEATTLE, WA 98195-6424
Phone number: 206-598-4377
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Mailing Address
-- MARK DAVID DERLETH M.D.
1959 NE PACIFIC ST BOX 356424
SEATTLE, WA 98195-6424
Phone number:
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