Individual
SARAH MATTESON KRANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 6TH AVE STE 200, TACOMA, WA 98405-4682
(253) 403-7299
Mailing address
915 6TH AVE STE 200, TACOMA, WA 98405-4682
(253) 403-7299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D68639
MD
2084N0400X
Neurology Physician
MD438638
PA
2084N0400X
Neurology Physician
Primary
MD60449945
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024156420002
—
PA
Enumeration date
12/27/2006
Last updated
08/20/2014
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