Individual
DR. RONALD V GREGUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12911 120TH AVE. NE, SUITE H-210, KIRKLAND, WA 98034-3027
(425) 823-4000
(425) 821-3550
Mailing address
805 MADISON STREET, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A93467
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD00048012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226327
L & I
WA
01
—
G8870662
MEDICARE EOC KING CO.
WA
Enumeration date
09/28/2006
Last updated
07/19/2012
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