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Individual

WYLIE NICHOLAS VRACIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 NORTH MAIN STREET, COUPEVILLE, WA 98239
(360) 678-6576
(360) 678-3970
Mailing address
PO BOX 1440, COUPEVILLE, WA 98239-1440
(360) 678-6576
(360) 678-3970

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00020146
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1905504
WA
Enumeration date
10/03/2006
Last updated
05/29/2008
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