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Individual
DR. WESLEY K GREYDANUS
Active
Individual
DR. WESLEY K GREYDANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00024790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037654
—
WA
01
—
50101
L&I
—
01
—
GR3666
B/S REGENCE 90
—
Enumeration date
06/29/2006
Last updated
07/17/2009
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