Individual
MARIANNE J UDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135043
LABOR AND INDUSTRIES #
WA
01
—
080075242
RAILROAD MC#
WA
05
—
1060516
—
WA
01
—
UD8594
BLUE SHIELD #
WA
01
—
US0899801
AETNA PCP PIN
WA
Enumeration date
10/11/2006
Last updated
06/17/2008
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