Individual
MARISA MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60681532
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396841581
—
WA
01
—
P01709002
RR MEDICARE WVH
WA
Enumeration date
09/15/2006
Last updated
10/14/2016
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