Individual
CHARLES MARTIN SACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 W. MAIN, RITZVILLE, WA 99169-0438
(509) 659-4800
(509) 659-4801
Mailing address
P.O. BOX 438, RITZVILLE, WA 99169-0438
(509) 659-4800
(509) 659-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027448
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050906
WA L&I
WA
05
—
8119547
—
WA
Enumeration date
07/29/2006
Last updated
02/24/2011
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