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Individual

DR. BRIAN A FOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 SW KLICKITAT WAY, SUITE 205, SEATTLE, WA 98134-1161
(206) 622-7747
(206) 467-1470
Mailing address
PO BOX 34245, SEATTLE, WA 98124-1245
(206) 622-7747
(206) 467-1470

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301078709
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220031796
RAILROAD MEDICARE
MI
05
34569900
WI
01
4387894
MOLINA HEALTHCARE
MI
05
4387894
MI
05
8522351
WA
Enumeration date
11/30/2006
Last updated
06/21/2012
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