Individual
WENDELL P FLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 731-8037
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00010961
WA
207RN0300X
Nephrology Physician
Primary
MD00010961
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110073125
RAIL ROAD MEDICARE
WA
05
—
8394801
—
WA
Enumeration date
01/24/2007
Last updated
06/24/2009
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