Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60955285 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD60955285 | WA |
NPI | 1255775219 |
---|---|
Provider Name | Dr. Albert Max D'heurle |
First Address | Lakewood, WA 98499-8000 |
Second Address | Lakewood, WA 98499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 20/08/2019 |