Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | MD00028739 | WA |
NPI | 1811043573 |
---|---|
Provider Name | Daniel P. Winder |
First Address | Kirkland, WA 98034-1431 |
Second Address | Kirkland, WA 98034-1431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 29/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8237075 | (05) | WA |
G87138 | (02) | WA |