Individual
MARGARET M MAINZER-CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
30327 56TH AVE NW, STANWOOD, WA 98292-7157
(360) 629-7145
(360) 629-9985
Mailing address
PO BOX 236, STANWOOD, WA 98292-0236
(360) 629-7145
(360) 629-9985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106762
L&I PROVIDER NO.
WA
01
—
CA0534
REGENCE PROVIDER NO.
—
01
—
MA00009088
STATE OF WA LICENSE NO.
WA
Enumeration date
02/14/2007
Last updated
07/08/2007
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