Individual
MARY C MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1600
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00028443
WA
207KA0200X
Allergy Physician
MM069013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061MA
REGENCE
—
05
—
130293185
—
MI
01
—
255307
LABOR & INDUSTRIES
WA
05
—
8136343
—
WA
Enumeration date
02/14/2006
Last updated
06/25/2010
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