Individual
JONATHAN ADAM DREZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4770
(206) 598-4055
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00036878
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00036878
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080161897
RAIL ROAD MEDICARE
WA
01
—
2000323
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8247389
—
WA
Enumeration date
10/27/2006
Last updated
03/22/2011
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