Organization
MONTESANO INTERNAL MEDICINE, PS
Active
Organization
MONTESANO INTERNAL MEDICINE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG KI SHIN MD (PRESIDENT AND CO-OWNER)
(360) 249-4111
Entity
Organization
Contact information
Practice address
112 E BROADWAY AVE, MONTESANO, WA 98563-3704
(360) 249-4111
(360) 249-5220
Mailing address
112 E BROADWAY AVE, MONTESANO, WA 98563-3704
(360) 249-4111
(360) 249-5220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
04/03/2024
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