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Individual

JOHN KAISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
(360) 735-3400
Mailing address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
(360) 735-3400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022847
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004886
WA
Enumeration date
07/19/2006
Last updated
05/05/2010
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