Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD00008424 | WA |
NPI | 1003991829 |
---|---|
Provider Name | George A Ojemann |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5052 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8392607 | (05) | WA |
A05293 | (02) |