Individual
REBECCA T WIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 521-1814
Mailing address
PO BOX 50010, SEATTLE, WA 98105-1010
(206) 987-8450
(206) 987-8484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00023456
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018399
—
WA
05
—
807492900
—
ID
Enumeration date
07/11/2006
Last updated
11/27/2007
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