Individual
DR. HERBERT KLOSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5057 84TH AVE SE, MERCER ISLAND, WA 98040-4617
(206) 244-1212
(206) 244-1223
Mailing address
PO BOX 5908, BELLEVUE, WA 98006-0408
(206) 244-1212
(206) 244-1223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00017372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139716
DEPT OF LABOR & INDUSTRIE
WA
05
—
1055268
—
WA
01
—
9638KL
REGENCE BLUE SHIELD
WA
01
—
P00113699
RAILROAD MEDICARE
WA
Enumeration date
10/28/2005
Last updated
07/08/2007
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