Individual
MARK P DOESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080121195
RAIL ROAD MEDICARE
WA
05
—
8165110
—
WA
Enumeration date
01/29/2007
Last updated
01/05/2012
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