Individual
DR. PAUL A MANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-4288
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00045972
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231496
L&I
WA
05
—
1518933639
—
WA
Enumeration date
02/28/2006
Last updated
10/08/2012
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