Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD00009662 | WA |
Y | 208600000X | Surgeon | MD00009662 | WA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD00009662 | WA |
NPI | 1184969289 |
---|---|
Provider Name | Dr. Robert John Kropp |
First Address | Medina, WA 98039-4817 |
Second Address | Medina, WA 98039-4817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2012 |
Last Update Date | 30/11/2012 |