Individual
CHARLES ROLAND STRUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14841 179TH AVE SE, STE220, MONROE, WA 98272-1127
(360) 863-1508
(360) 805-9781
Mailing address
21810 CALHOUN RD, MONROE, WA 98272-8752
(360) 863-1508
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9619
WA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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