Individual
MAKSIM VLADIMIR SUKHAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A.,L.M.T.
Contact information
Practice address
6808 220TH ST SW STE 203, MOUNTLAKE TERRACE, WA 98043-2187
(425) 776-1056
Mailing address
8757 46TH PL W, MUKILTEO, WA 98275-3403
(425) 563-8965
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA 60584369
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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