Individual
BRUCE E WIETHARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 MEDICAL CENTER DR, ARLINGTON, WA 98223-1697
(360) 435-8595
(360) 435-5233
Mailing address
903 MEDICAL CENTER DR, ARLINGTON, WA 98223-1697
(360) 435-8595
(360) 435-5233
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00043436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8389991
—
WA
Enumeration date
10/12/2006
Last updated
03/15/2011
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