Individual
MR. RUSSELL EDAN STOLZOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1209 11TH ST, BELLINGHAM, WA 98225-7078
(360) 671-0546
Mailing address
1125 LAKEVIEW ST, BELLINGHAM, WA 98229-2517
(360) 671-0546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014127
WA
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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