Individual
BENJAMIN ISAAC WAINBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7101
Mailing address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7501
(509) 725-7504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IMLC.MD.61566197
WA
Other
Enumeration date
05/07/2019
Last updated
02/26/2026
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