Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD00011926 | WA |
NPI | 1104986413 |
---|---|
Provider Name | Dr. Daniel Melber |
First Address | Renton, WA 98055-5738 |
Second Address | Renton, WA 98055-5738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 07/02/2014 |