Individual
DR. TIMOTHY WEISS CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(206) 583-6079
(206) 341-1881
Mailing address
100 DANA AVENUE, WENATCHEE, WA 98801
(509) 661-3708
(509) 665-6211
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60789507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225471170
—
WA
01
—
G8969913
WVH PTAN
WA
01
—
G8969914
WVH PTAN
WA
Enumeration date
04/10/2013
Last updated
10/03/2022
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