Individual
DOUGAL CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8910 VERNON RD, LAKE STEVENS, WA 98258-2400
(425) 357-3305
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31860
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009348
—
WA
05
—
2042836
—
WA
Enumeration date
03/08/2006
Last updated
05/22/2015
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