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Individual

DR. KERLAN PETER WOLSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Mailing address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60529112
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60529112
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME106047
FL
207RP1001X
Pulmonary Disease Physician
Primary
MD60529112
WA
207RP1001X
Pulmonary Disease Physician
ME106047
FL

Other

Enumeration date
10/11/2006
Last updated
04/29/2021
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