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Individual

DR. JOSEPH HENRY DANNENBAUM IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1484
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1484

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
26976
NE
207X00000X
Orthopaedic Surgery Physician
TP814
KY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
278065
MA

Other

Enumeration date
03/24/2011
Last updated
05/06/2021
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