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Organization
REJUVENATION MEDICAL PLLC
Active
Organization
REJUVENATION MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA B KRETCHMAR DO (MEDICAL DIRECTOR)
(817) 789-2639
Entity
Organization
Contact information
Practice address
2222 MERIDIAN AVE E STE A, EDGEWOOD, WA 98371-1032
(206) 407-4171
(253) 294-7069
Mailing address
2222 MERIDIAN AVE E STE A, EDGEWOOD, WA 98371-1032
(206) 407-4171
(253) 294-7069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
10/16/2026
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