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Individual

MARC D ERLITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12333 NE 130TH LN, SUITE 500, KIRKLAND, WA 98034
(425) 353-3788
(425) 353-8041
Mailing address
PO BOX 94181, EVERETT, WA 98208
(425) 353-3788
(425) 353-8041

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00013191
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078551
L&I
WA
05
1248103
WA
Enumeration date
09/26/2006
Last updated
11/20/2007
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