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Individual

JON HUSEBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00012629
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00012629
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1075076
WA
Enumeration date
03/03/2006
Last updated
06/18/2014
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