JOHN WIEDERSPAN

SEATTLE, WA
NPI1891249785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60699321)
Enumeration Date2016-08-08
Last Update Date2016-11-13
Business Address
-- JOHN WIEDERSPAN
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-598-4260
Mailing Address
-- JOHN WIEDERSPAN
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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