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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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