Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 40745 | WA |
NPI | 1003924630 |
---|---|
Provider Name | Mark R Vossler |
First Address | Kirkland, WA 98034-3039 |
Second Address | Kirkland, WA 98034-3039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 09/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BV 3232078 | (05) | WA |
F31901 | (02) |