Organization
MOUNT BAKER RHEUMATOLOGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWARD WISNER M.D. (DELEGATED OFFICIAL)
(360) 676-1610
Entity
Organization
Contact information
Practice address
500 BIRCHWOOD AVE, SUITE C, BELLINGHAM, WA 98225-1704
(360) 676-1610
(360) 676-2459
Mailing address
500 BIRCHWOOD AVE, SUITE C, BELLINGHAM, WA 98225-1704
(360) 676-1610
(360) 676-2459
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
16552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7138068
—
WA
Enumeration date
09/25/2007
Last updated
02/20/2008
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