Individual
VIENNA KRUMWIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3047
(253) 581-9002
Mailing address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA.PA.61678730
WA
363AM0700X
Medical Physician Assistant
Primary
PA61678730
WA
Other
Enumeration date
05/24/2025
Last updated
06/16/2025
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