Organization
NORTHWEST SURGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL R MAHLBERG M.A. (OFFICE/BUSINESS MANAGER)
(360) 426-4142
Entity
Organization
Contact information
Practice address
1710 N 13TH LOOP RD, SHELTON, WA 98584-2166
(360) 426-4142
(360) 427-5772
Mailing address
1710 N 13TH LOOP RD, SHELTON, WA 98584-2166
(360) 426-4142
(360) 427-5772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00045973
WA
Other
Enumeration date
07/04/2006
Last updated
09/09/2008
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