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Individual

DR. AYSEL RENARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125070537
IL
207R00000X
Internal Medicine Physician
Primary
MD61266063
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225567456
WA
Enumeration date
06/10/2017
Last updated
03/29/2022
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