Individual
MRS. MELODY A BRONOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9951 MICKELBERRY RD NW STE 101, SILVERDALE, WA 98383-8309
(360) 692-9362
(360) 692-6214
Mailing address
9951 MICKELBERRY RD NW STE 101, SILVERDALE, WA 98383-8309
(360) 692-9362
(360) 692-6214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00048362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8490781
—
WA
01
—
MD00048362
MD LICENSE
WA
Enumeration date
08/07/2006
Last updated
03/07/2023
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