Individual
DR. ERNESTO D MADARANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 586-0745
Mailing address
919 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 586-0745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00015115
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1074806
—
WA
Enumeration date
08/22/2006
Last updated
07/09/2007
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