Individual
MICHAEL ALAN GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2050 BARB ST STE A, SILVERDALE, WA 98315-2050
(360) 315-4346
Mailing address
2050 BARB ST STE A, SILVERDALE, WA 98315-2050
(360) 315-4346
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
02/19/2015
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