Individual
GRANT S FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(801) 463-7341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55838771205
UT
207R00000X
Internal Medicine Physician
Primary
MD00047393
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8475790
—
WA
01
—
8864808
HARBORVIEW MEDICARE
—
01
—
8864897
UWP MEDICARE
—
01
—
P00416617
RAILROAD MEDICARE
—
Enumeration date
07/09/2006
Last updated
03/14/2008
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