Individual
ABIGAIL K WIEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60226658
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013051507
—
WA
01
—
P01038754
RAILROAD MEDICARE
WA
Enumeration date
02/16/2007
Last updated
07/10/2012
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