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Individual

RUSSELL ETTINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105
(206) 987-3256
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2208

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.MD.60838615
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301098832
MI

Other

Enumeration date
07/05/2011
Last updated
06/11/2018
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