Individual
KURT SANDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3928 PACIFIC AVE SE, LACEY, WA 98503-1109
(360) 455-1350
(360) 455-5354
Mailing address
823 MCCORMICK ST SE, OLYMPIA, WA 98501-1738
(360) 866-6868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044314
WA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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