Individual
MADONNA A. BIRITWUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 848-4150
(360) 848-4169
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01070155A
IN
207RI0200X
Infectious Disease Physician
Primary
MD60748436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088459
—
WA
Enumeration date
02/24/2009
Last updated
10/25/2021
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