Individual
MARKO YAKOVLEVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1536 N 115TH ST STE 200, SEATTLE, WA 98133-8400
(206) 363-1004
(206) 363-3548
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 525-2723
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00029941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1097542
—
WA
Enumeration date
11/15/2006
Last updated
06/22/2020
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