Individual
VADIM VLADIMIROVICH CHESNOKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC STREET BOX 356410, SEATTLE, WA 98195-9600
(206) 543-3687
Mailing address
419 NE 71ST ST APT 507, SEATTLE, WA 98115-5878
(360) 977-9631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
61544854
WA
390200000X
Student in an Organized Health Care Education/Training Program
ML61544854
WA
Other
Enumeration date
02/13/2023
Last updated
06/02/2025
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