Individual
DR. MARK LUTHER SCHLAUDERAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
237 PROFESSIONAL WAY, SHELTON, WA 98584-4404
(360) 426-2500
(360) 462-2500
Mailing address
237 PROFESSIONAL WAY, SHELTON, WA 98584-4404
(360) 426-2500
(360) 462-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00019248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8466971
—
WA
Enumeration date
07/05/2005
Last updated
04/03/2017
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