Organization
BAINBRIDGE SKIN SURGERY AND CONSULTATIVE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE C WHITAKER M.D. (OWNER)
(206) 842-5666
Entity
Organization
Contact information
Practice address
271 WYATT WAY NE, SUITE 108, BAINBRIDGE ISLAND, WA 98110-2873
(206) 842-5666
(425) 742-8516
Mailing address
271 WYATT WAY NE, SUITE 108, BAINBRIDGE ISLAND, WA 98110-2873
(206) 842-5666
(425) 742-8516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
46124
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
46124
WA
Other
Enumeration date
02/13/2015
Last updated
09/29/2020
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