Individual
DAVID M KOELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-8750
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00025305
WA
207RI0200X
Infectious Disease Physician
MD00025305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508942350
—
WA
Enumeration date
10/27/2006
Last updated
05/07/2018
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