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Individual

DR. WENDEL J SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3015 N 33RD ST, TACOMA, WA 98407-6420
(253) 759-8500
(253) 200-0907
Mailing address
2410 17TH ST NW, UNIT 307, WASHINGTON, DC 20009-2764
(206) 669-6610
(253) 200-0907

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00036712
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0191192
STATE L&I
WA
05
8231649
WA
Enumeration date
06/21/2006
Last updated
02/19/2013
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