Individual
TIMOTHY ELLIS MESSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-2400
(360) 424-2418
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083476
—
WA
01
—
43083
LABOR AND INDUSTRIES
WA
Enumeration date
07/19/2005
Last updated
12/30/2013
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