Individual
DR. JAMES L BIESECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 E DIVISION ST, MOUNT VERNON, WA 98274-4133
(360) 416-2254
(360) 416-2287
Mailing address
1310 E DIVISION ST, MOUNT VERNON, WA 98274-4133
(360) 416-2254
(360) 416-2287
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00017320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8106460
—
WA
Enumeration date
10/27/2006
Last updated
07/09/2007
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