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Organization
TOTEM LAKE FAMILY MEDICINE, PLLC
Active
Organization
TOTEM LAKE FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE Y. MIYAUCHI M.D. (PARTNER)
(425) 899-5200
Entity
Organization
Contact information
Practice address
11800 NE 128TH ST, STE, 560, KIRKLAND, WA 98034-7208
(425) 899-5200
(425) 285-3108
Mailing address
11800 NE 128TH ST, STE. 560, KIRKLAND, WA 98034-7208
(425) 899-5200
(425) 285-3108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BUS14337
WA
Other
Enumeration date
06/28/2007
Last updated
05/11/2012
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