DANIEL JAMES KISSAU

OLYMPIA, WA
NPI1861996837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  MD61444250)
Enumeration Date2018-03-22
Last Update Date2023-10-05
Business Address
DANIEL JAMES KISSAU MD
413 LILLY RD NE
OLYMPIA, WA 98506-5133
Phone number: 360-493-4083
Mailing Address
DANIEL JAMES KISSAU MD
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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