Individual
DAVID JOHN ROESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 19TH AVE E STE 201, SEATTLE, WA 98112-4000
(206) 466-5937
(206) 535-8844
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222110
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8263972
—
WA
01
—
930096001
RAIL ROAD MEDICARE
WA
Enumeration date
10/16/2006
Last updated
06/29/2023
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