Individual
ANDRE STEFAN MAGNUSSON SCARLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9650 15TH AVE SW STE 100, SEATTLE, WA 98106-2576
(206) 965-1000
(206) 965-1001
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61156184
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
11/06/2023
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