Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | TR60075626 | WA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | TR60075626 | WA |
NPI | 1255564696 |
---|---|
Provider Name | Maximilian Reinhold |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2009 |
Last Update Date | 02/09/2009 |