Individual
DR. BETHANY LEE WISOTZKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
PO BOX 5371, 818 RC, SEATTLE, WA 98145
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD60342211
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022228100
—
FL
05
—
1467778027
—
WA
Enumeration date
04/07/2010
Last updated
12/29/2023
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