Individual
DR. JOHN D GONSOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9633 LEVIN RD NW STE 103, SILVERDALE, WA 98383
(360) 337-8200
(360) 337-6956
Mailing address
9633 LEVIN RD NW STE 103, SILVERDALE, WA 98383-8132
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60170773
WA
Other
Enumeration date
09/08/2008
Last updated
10/02/2018
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