Individual
EMILY J. GROSSNIKLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60877066
WA
208M00000X
Hospitalist Physician
Primary
MD60877066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003278706
—
WA
Enumeration date
03/22/2016
Last updated
03/13/2025
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