Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60013863 | WA |
NPI | 1083733943 |
---|---|
Provider Name | Dr. Jerry I-Ming Huang |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 22/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0239775 | L&I (01) | WA |
1083733943 | (05) | WA |