Individual
JOHN JACOB MATTHEW WAMPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 MADISON AVE SUITE 100, SEATTLE, WA 98104
(206) 386-6197
Mailing address
1401 MADISON ST STE 100, SEATTLE, WA 98104-1316
(206) 386-6197
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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