Individual
DR. DONALD MICHAEL PEHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 W SPRUCE, SUITE 24, YAKIMA, WA 98902
(509) 575-6888
(509) 575-0455
Mailing address
1111 W SPRUCE ST, SUITE 24, YAKIMA, WA 98902-3257
(509) 575-6888
(509) 575-0455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
252090015294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325247325247
PREMERA BC
WA
Enumeration date
09/28/2006
Last updated
06/09/2011
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